Provider Demographics
NPI:1760725246
Name:PITTSBURGH PAIN PHYSICIANS
Entity Type:Organization
Organization Name:PITTSBURGH PAIN PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANKUR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-680-0526
Mailing Address - Street 1:125 EMERYVILLE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-5020
Mailing Address - Country:US
Mailing Address - Phone:412-533-2202
Mailing Address - Fax:412-774-2929
Practice Address - Street 1:125 EMERYVILLE DR STE 240
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5020
Practice Address - Country:US
Practice Address - Phone:412-533-2202
Practice Address - Fax:412-774-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028381750001Medicaid
PA1028381750001Medicaid