Healthcare Provider Details

I. General information

NPI: 1306935036
Provider Name (Legal Business Name): ANKUR GOSALIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 EMERYVILLE DR STE 240
CRANBERRY TWP PA
16066-5020
US

IV. Provider business mailing address

2740 COLE RD
WEXFORD PA
15090-7809
US

V. Phone/Fax

Practice location:
  • Phone: 412-533-2202
  • Fax: 412-774-2929
Mailing address:
  • Phone: 412-680-0526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD428877
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD428877
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: