Individual provider · Type 1 NPI
Sujatha Govindaiah, MD
Specialist · East Moline, IL
NPI number
1649268053
Active
Practice location
4360 Kennedy Dr, Suite 3
East Moline, IL 61244-4251
Fax (309) 796-1887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036060186 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
About NPI 1649268053
Sujatha Govindaiah, MD's National Provider Identifier is 1649268053, issued on Oct 10, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Moline, IL. The record was last updated on Apr 6, 2009.