| Anil V Gosalia, Md, Pa | |
|
1610 Washington Blvd Kansas City KS 66102-2842 | |
| (913) 281-2605 | |
| (913) 281-0087 |
| Full Name | Anil V Gosalia, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1610 Washington Blvd, Kansas City, Kansas |
| Authorized Official Name and Position | Anil V Gosalia (PRESIDENT) |
| Authorized Official Contact | 9132812605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anil V Gosalia, Md, Pa Po Box 879985 Kansas City MO 64187-0001 Ph: (913) 248-9693 | Anil V Gosalia, Md, Pa 1610 Washington Blvd Kansas City KS 66102-2842 Ph: (913) 281-2605 |
| NPI Number | 1811939549 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779575816 |
|---|---|
| Medicare Enrollment ID | O20091110000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811939549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-16677 (Kansas) | Primary |
| Provider Name | Anil V Gosalia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750323499 PECOS PAC ID: 7618869082 Enrollment ID: I20091110000718 |
| Provider Name | Melanie A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992179741 PECOS PAC ID: 9739482399 Enrollment ID: I20160114002870 |
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