Individual
DR. SHILPA VELLORE GOVARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5855
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125052133
IL
2080P0203X
Pediatric Critical Care Medicine Physician
47844
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A121935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834790
—
AZ
Enumeration date
09/17/2008
Last updated
05/12/2020
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