1518197524 NPI number — DR. GITANJALI PAI MD

Table of content: DR. GITANJALI PAI MD (NPI 1518197524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518197524 NPI number — DR. GITANJALI PAI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAI
Provider First Name:
GITANJALI
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518197524
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5030 CENTRE AVE
Provider Second Line Business Mailing Address:
APARTMENT NUMBER 561, AMBERSON PLAZA
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213-1933
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-999-5529
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 W LOCUST ST STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STILWELL
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-696-4065
Provider Business Practice Location Address Fax Number:
918-696-5971
Provider Enumeration Date:
07/24/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  258420 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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