Individual
AJEY V GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33215 7 MILE RD, LIVONIA, MI 48152-1365
(248) 478-3200
(248) 478-3316
Mailing address
33215 7 MILE RD, LIVONIA, MI 48152-1365
(248) 478-3200
(248) 478-3316
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301086339
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4753495
—
MI
Enumeration date
08/11/2005
Last updated
07/08/2007
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