Provider Demographics
NPI:1740422609
Name:GOSALIA, SAADIA KHAN (DO)
Entity Type:Individual
Prefix:
First Name:SAADIA
Middle Name:KHAN
Last Name:GOSALIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SAADIA
Other - Middle Name:
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1424 MYSTIC VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8873
Mailing Address - Country:US
Mailing Address - Phone:215-287-6962
Mailing Address - Fax:
Practice Address - Street 1:401 LIBERTY AVE
Practice Address - Street 2:THREE GATEWAY CENTER, 20TH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1000
Practice Address - Country:US
Practice Address - Phone:412-325-8714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0134112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology