Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1696 | TX |
Y | 222Z00000X | Podiatrist | 1696 | TX |
NPI | 1043225105 |
---|---|
Provider Name | Vikas A Godhania |
First Address | Austin, TX 78723-1142 |
Second Address | Austin, TX 78731-3166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
166922801 | (05) | TX |
166922802 | (05) | TX |
166922803 | (05) | TX |