| Dr Shirley Y Godiwalla, MD | |
|
W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 | |
| (262) 695-3052 | |
| Not Available |
| Full Name | Dr Shirley Y Godiwalla |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | W283n3671 Yorkshire Trce, Pewaukee, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518929611 | NPI | - | NPPES |
| 340012140 | Other | RR MEDICARE | |
| 31392600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 26973 (Wisconsin) | Secondary |
| 208D00000X | General Practice | 2697320 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052 | Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052 |
Dr. Steven Mather Kotsonis, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1109 Cecelia Dr, Pewaukee, WI 53072 Phone: 262-373-6733 Fax: 262-373-6018 |