IndividualActive
Shyamali Godbole, MD
NPI 1073659272 · Developmental - Behavioral Pediatrics Physician · Philadelphia, PA
Provider details
- NPI number
- 1073659272
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD053000L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5501 Old York Rd
Levy 2 West
Philadelphia, PA 19141-3018
Phone: (215) 456-6959
Fax: (215) 456-2356
Approximate (ZIP-level) locationGet directions
Mailing address
101 E Olney Ave
Philadelphia, PA 19120-2421
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2015-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.