Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD038807E | PA |
Y | 111NI0900X | Internist | MD038807E | PA |
N | 207RA0201X | Internist - Allergy & Immunology | MD038807E | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD038807E | PA |
N | 207RI0011X | Interventional Cardiology | MD038807E | PA |
N | 207RN0300X | Nephrologist | MD038807E | PA |
N | 207RP1001X | Pulmonary Disease | MD038807E | PA |
NPI | 1841253937 |
---|---|
Provider Name | Dr. Jayesh B. Gosai |
First Address | Jefferson, PA 15344-0470 |
Second Address | Rices Landing, PA 15357-1165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 01/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011040280004 | (05) | PA |
C32645 | (02) | PA |