Govila, Lisa

Govila, Lisa is an individual health care provider with primary practice located at 6245 Inkster Rd , Garden City MI 48135-4001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Govila, Lisa can be contacted via phone (734) 458-3412.

Contact Information

Primary practice address
6245 Inkster Rd Garden City MI 48135-4001
Fax: (734) 677-7407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301069059 Michigan

Profile Details

NPI number 1891710158
LBN Legal business name Govila, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891710158 NPPES
Michigan Other 3106344992 INDIVIDUAL PIN #
Michigan MEDICAID 4437753 INDIVIDUAL PIN #

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