Provider Demographics
NPI:1083677660
Name:JAYESH B GOSAI, MD
Entity Type:Organization
Organization Name:JAYESH B GOSAI, MD
Other - Org Name:LIONS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:GOSAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-883-2223
Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:PA
Mailing Address - Zip Code:15344-0470
Mailing Address - Country:US
Mailing Address - Phone:724-883-2223
Mailing Address - Fax:724-883-3300
Practice Address - Street 1:1895 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:RICES LANDING
Practice Address - State:PA
Practice Address - Zip Code:15357-1165
Practice Address - Country:US
Practice Address - Phone:724-883-2223
Practice Address - Fax:724-883-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA370663OtherBLUE SHIELD ID NUMBER
PA370663OtherBLUE SHIELD ID NUMBER