Individual
MANASI MANOJ GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 W GRAND BLVD DEPT, DEPARTMENT OF HEMATOLOGY/ONCOLOGY, DETROIT, MI 48202-2610
(888) 777-4167
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01093486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300091244
—
IN
Enumeration date
06/22/2017
Last updated
02/02/2026
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