Provider Demographics
NPI:1265408348
Name:GATES, MICHAEL E (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:GATES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:701 TECHNOLOGY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9531
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:140 CURRY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4604
Practice Address - Country:US
Practice Address - Phone:412-650-5623
Practice Address - Fax:412-650-7370
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
PAMD424314207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009911410001Medicaid
PA1009911410001Medicaid
H79185Medicare UPIN