Individual
DR. SANDIP A GODAMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9184
(757) 668-9199
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101250341
VA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
31432
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0101250341
VA
Other
Enumeration date
07/26/2005
Last updated
10/16/2019
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