Individual
ANITA GODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10320 SWIFT STREAM PL, #405, COLUMBIA, MD 21044-4871
(410) 423-9481
Mailing address
10320 SWIFT STREAM PL, #405, COLUMBIA, MD 21044-4871
(410) 423-9481
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
225531
MA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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