Godishala,, Laxmana M

Godishala,, Laxmana M is an individual health care provider with primary practice located at 6405 France Ave S Suite W440, Edina MN 55435-2163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Godishala,, Laxmana M can be contacted via phone (952) 927-7004.

Contact Information

Primary practice address
6405 France Ave S Suite W440 Edina MN 55435-2163
Fax: (952) 927-5146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37631 Minnesota

Profile Details

NPI number 1588619324
LBN Legal business name Godishala,, Laxmana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588619324 NPPES
Minnesota MEDICAID 130516600

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