Individual
MR. ISHAN GODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
VALLEYWISE HEALTH, 2601 E ROOSEVELT ST, PHOENIX, AZ 85013
(602) 344-6611
Mailing address
CREIGHTON UNIVERSITY, 3100 N. CENTRAL AVE, PHOENIX, AZ 85012
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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