Healthcare Provider Details

I. General information

NPI: 1245299718
Provider Name (Legal Business Name): LEONARD GERALD GEHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 VANADIUM RD
PITTSBURGH PA
15243-1497
US

IV. Provider business mailing address

363 VANADIUM RD
PITTSBURGH PA
15243-1497
US

V. Phone/Fax

Practice location:
  • Phone: 412-429-8840
  • Fax: 412-429-8067
Mailing address:
  • Phone: 412-429-8840
  • Fax: 412-429-8067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD019439E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: