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NPI Code Detail

MEDICARE: SHEFALI GODARA MD

MEDICARE:   SHEFALI  GODARA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician21807NV
2390200000XStudent in an Organized Health Care Education/Training Program
3207RP1001XPulmonary Disease Physician21807NV

General Provider Information

NPI Number : 1265886592
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEFALI GODARA MD
Provider Business Mailing Address
First Line : 645 N ARLINGTON AVE STE 525
Second Line :
City : RENO
State : NV
Zip : 89503-4452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 645 N ARLINGTON AVE STE 525
Second Line :
City : RENO
State : NV
Zip : 89503-4452
Country : US
Telephone Number : 775-770-7527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2016
Last Update Date : 12/28/2022

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Directions to “ SHEFALI GODARA MD” Practice Location

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