Individual
SONIA A GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11801 N TATUM BLVD STE 128, PHOENIX, AZ 85028-1620
(602) 795-9980
(602) 795-9984
Mailing address
11801 N TATUM BLVD STE 128, PHOENIX, AZ 85028-1620
(602) 795-9980
(602) 795-9984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30408
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716847
—
AZ
Enumeration date
11/02/2006
Last updated
12/07/2022
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