Individual
GODOFREDO C CARANDANG
Active
Individual
GODOFREDO C CARANDANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622441
BCBS PROVIDER ID
IL
Enumeration date
09/20/2005
Last updated
01/14/2008
Update your record
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