MEDICARE: PITTSBURGH PAIN PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760725246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PITTSBURGH PAIN PHYSICIANS

Provider Business Mailing Address
First Line	:	125 EMERYVILLE DR STE 240
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	412-533-2202
Fax Number	:	412-774-2929

Provider Business Practice Location Address
First Line	:	125 EMERYVILLE DR STE 240
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	412-533-2202
Fax Number	:	412-774-2929

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANKUR GOSALIA
Credential	:	MD
Telephone Number	:	412-680-0526

Provider Enumeration Date	:	04/02/2013
Last Update Date	:	10/29/2023

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Directions to “PITTSBURGH PAIN PHYSICIANS ” Practice Location

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