Individual
CARLOS A GODOY
Active
Individual
CARLOS A GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CG033015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001015
MIDWEST HEALTH PLAN
MI
01
—
112307
GREAT LAKES HEALTH PLAN
MI
05
—
1358084
—
MI
01
—
236661
MEDICARE PROVIDER NO
MI
01
—
340H210660
BCBSM/BCN
MI
01
—
4471546
AETNA
MI
01
—
50801
OMNI A COVENTRY HEALTH PL
MI
Enumeration date
03/24/2006
Last updated
02/28/2012
Update your record
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