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Carlos A Godoy
Cardiovascular Disease Physician in Dearborn, Michigan
NPI 1881654705

Carlos A Godoy is a Cardiovascular Disease Physician based in Farmington Hills, MI and is specialized in Cardiovascular Disease. Carlos A Godoy practices in Dearborn, MI. The NPI Number for Carlos A Godoy is 1881654705 and holds a License No. CG033015 (Michigan).

The current practice location address for Carlos A Godoy is 4700 Schaefer Rd, Dearborn, MI and can be reached out via phone at 313-581-2600 and via fax at 313-581-0228.

Location: 4700 Schaefer Rd, Dearborn, MI, 48331-2768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881654705
Provider Name
Carlos A Godoy
Credential
Provider Entity Type
Individual
Gender
Male
Address
4700 Schaefer Rd, Dearborn, MI, 48331-2768
Phone Number
313-581-2600
Fax Number
313-581-0228
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236661 01 MI MEDICARE PROVIDER NO
1358084 05 MI
4471546 01 MI AETNA
340H210660 01 MI BCBSM/BCN
50801 01 MI OMNI A COVENTRY HEALTH PL
001015 01 MI MIDWEST HEALTH PLAN
112307 01 MI GREAT LAKES HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
4700 Schaefer Rd
City
Dearborn
State
Michigan
Zip
48126-3698
Phone Number
313-581-2600
Fax Number
313-581-0228
person
Provider Business Mailing Address Details
Address
4700 Schaefer Rd
City
Dearborn
State
Michigan
Zip
48126-3698
Phone Number
313-581-2600
Fax Number
313-581-0228
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
CG033015 (Michigan)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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