{
"Npi": {
"NPI": "1740422609",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GOSALIA",
"FirstName": "SAADIA",
"MiddleName": "KHAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KHAN",
"OtherFirstName": "SAADIA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DO",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1424 MYSTIC VALLEY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEWICKLEY",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15143-8873",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-287-6962",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "401 LIBERTY AVE",
"SecondLinePracticeLocationAddress": "THREE GATEWAY CENTER, 20TH FLOOR",
"PracticeLocationAddressCityName": "PITTSBURGH",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15222-1000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "412-325-8714",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2009",
"LastUpdateDate": "11/20/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2085R0202X",
"TaxonomyName": "Diagnostic Radiology Physician",
"LicenseNumber": "OS013411",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}