Healthcare Provider Details

I. General information

NPI: 1285867499
Provider Name (Legal Business Name): GURSIMRAN SINGH KOCHHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 FEDERAL ST STE B100
PITTSBURGH PA
15212
US

IV. Provider business mailing address

1307 FEDERAL ST STE B100
PITTSBURGH PA
15212-4761
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-8900
  • Fax:
Mailing address:
  • Phone: 412-359-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD465114
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: