Provider Demographics
NPI:1700449790
Name:BHOGAL, SUMAIL (MD)
Entity Type:Individual
Prefix:
First Name:SUMAIL
Middle Name:
Last Name:BHOGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER - PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF ORTHOPAEDIC SURGERY
Practice Address - Street 2:3471 FIFTH AVENUE KAUFMANN MEDICAL BLDG, SUITE 1010
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:14213
Practice Address - Country:US
Practice Address - Phone:412-605-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD474954207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program