Healthcare Provider Details
I. General information
NPI: 1033150412
Provider Name (Legal Business Name): UMESH GOLANI
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2006
Last Update Date: 03/25/2021
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 DELAFIELD RD SUITE 2005
PITTSBURGH PA
15215-3205
US
IV. Provider business mailing address
200 DELAFIELD ROAD ST 2005
PITTSBURGH PA
15215
US
V. Phone/Fax
- Phone: 412-784-7020
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | MD032455E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: