Shirley Y Godiwalla M.D,S.C

LBN: Shirley Y Godiwalla M.D,S.C
Shirley Y Godiwalla M.D,S.C is an health care organization with primary practice located at 10625 W North Ave Suite 201, Wauwatosa WI 53226-2315. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Shirley Y Godiwalla M.D,S.C can be contacted via phone (414) 727-1117, or through Godiwalla, Shirley Y via phone (262) 695-3050.

Contact Information

Primary practice address
10625 W North Ave Suite 201 Wauwatosa WI 53226-2315
Phone: (414) 727-1117
Fax: (414) 727-1118
Website:
Map and Directions
Authorized official contact:
Name: Godiwalla, Shirley Y Doctor of Medicine (MD)
Phone: (262) 695-3050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 26973 Wisconsin

Profile Details

NPI number 1760430698
LBN Legal business name Shirley Y Godiwalla M.D,S.C
DBA Doing business as
Authorized official Godiwalla, Shirley Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jun 7th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760430698 NPPES
Wisconsin MEDICAID 31392600
Wisconsin Other 340012140

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