Provider Demographics
NPI:1316439060
Name:GODIL, SARA ATIF (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ATIF
Last Name:GODIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6644 ELEGANTE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-5403
Mailing Address - Country:US
Mailing Address - Phone:760-979-3126
Mailing Address - Fax:
Practice Address - Street 1:180 OTAY LAKES RD STE 110
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-2444
Practice Address - Country:US
Practice Address - Phone:619-585-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA199640207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease