Provider Demographics
NPI:1841253937
Name:GOSAI, JAYESH B (MD)
Entity type:Individual
Prefix:DR
First Name:JAYESH
Middle Name:B
Last Name:GOSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:PA
Mailing Address - Zip Code:15344-0470
Mailing Address - Country:US
Mailing Address - Phone:724-883-2223
Mailing Address - Fax:724-883-3300
Practice Address - Street 1:1895 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:RICES LANDING
Practice Address - State:PA
Practice Address - Zip Code:15357-1165
Practice Address - Country:US
Practice Address - Phone:724-883-2223
Practice Address - Fax:724-883-3300
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038807E207R00000X, 207RA0201X, 207RC0000X, 207RI0008X, 207RI0011X, 207RN0300X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011040280004Medicaid
PAC32645Medicare UPIN
PA0011040280004Medicaid