Basic Information
Provider Information
NPI: 1881836641
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GODHWANI
FirstName: NITA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CHATWANI
OtherFirstName: NITA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.S.
OtherLastNameType: 5
Mailing Information
Address1: 1001 POTRERO AVE # 6D
Address2: SFGH OBGYN
City: SAN FRANCISCO
State: CA
PostalCode: 941103518
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1001 POTRERO AVE # 6D
Address2: SFGH OBGYN
City: SAN FRANCISCO
State: CA
PostalCode: 941103518
CountryCode: US
TelephoneNumber: 4152063061
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2009
LastUpdateDate: 01/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA106820CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home