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Contact Information

SHYAMALI V GODBOLE, MD
5501 OLD YORK RD
LEVY 2 WEST
PHILADELPHIA, PA19141-3018
 Phone: 215-456-6959
 Fax: 215-456-2356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHYAMALI V GODBOLE · (Female)

NPI Number 1073659272
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2007
Last updated 08/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD053000L
  • PA Medicaid 001474726
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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