Doctor Name: | MRS. OLGA GODINA |
NPI Number: | 1003048737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 2011011571 |
Business Practice Address: | 1000 E 24th St Kansas City, MO - 641082776 |
Business Phone Number: | 8165127481 |
Business Fax Number: | 8165127486 |
Mailing Address: | 15 Poplar Ct, NEWTOWN |
State: | PA |
Postal Code: | 189403219 |
Phone Number: | 2678729456 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2009 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2011011571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |