Healthcare Provider Details

I. General information

NPI: 1932333416
Provider Name (Legal Business Name): SHEILA RAMGOPAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 HELEN DR
LEBANON PA
17042-7493
US

IV. Provider business mailing address

5910 KIRKWOOD ST
PITTSBURGH PA
15206-3048
US

V. Phone/Fax

Practice location:
  • Phone: 717-273-8835
  • Fax: 717-202-0100
Mailing address:
  • Phone: 412-661-8811
  • Fax: 412-363-6901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberFR2881197
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD444235
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: