Individual
GODFREY S CHITHAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 US HIGHWAY 80 E STE 200, SUNNYVALE, TX 75182-9212
(972) 329-1996
(972) 329-0211
Mailing address
490 US HIGHWAY 80 E STE 200, SUNNYVALE, TX 75182-9212
(972) 329-1996
(972) 329-0211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142069701
—
TX
05
—
142069702
—
TX
Enumeration date
06/29/2006
Last updated
01/10/2020
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