Organization Name:  JAYESH B GOSAI, MD


Practice Location:
1895 JEFFERSON RD  RICES LANDING, PA 15357 US
Tel: 724-883-2223  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
X	207K00000X	Physicians Allergy & Immunology
X	207P00000X	Physicians Emergency Medicine
X	207Q00000X	Physicians Family Medicine
X	207R00000X	Physicians Internal Medicine
X	207RN0300X	Physicians Internal Medicine
X	207RC0000X	Physicians Internal Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE SHIELD ID NUMBER	370663	PA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin