Provider Demographics
NPI:1821271891
Name:GOLANI MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:GOLANI MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-682-5992
Mailing Address - Street 1:4815 LIBERTY AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-682-5992
Mailing Address - Fax:412-682-5915
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-682-5992
Practice Address - Fax:412-682-5915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA604751Medicare PIN