Active NPI
Kirit P Gosalia MD PC
- Cardiovascular Disease Physician
- Glendale, AZ
National Provider Identifier
1700812906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 11963
- Legal business name
- KIRIT P GOSALIA MD PC
- Practice address
- 5620 W Thunderbird Rd
Suite E1
Glendale, AZ 85306-4636 - Phone
- (602) 978-0154
- Fax
- (602) 978-2797
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kirit P Gosalia, MD
- Title
- President
- Phone
- (602) 978-0154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 11963 | AZ | Primary |
Addresses
Primary practice location
5620 W Thunderbird Rd
Suite E1
Glendale, AZ 85306-4636
Mailing address
5620 W Thunderbird Rd
Suite E1
Glendale, AZ 85306-4636
Phone (602) 978-0154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WCFKQ | Other | AZ | SUN HEALTH PHYSICIANS |
| 215295 | Medicaid | AZ |
Other names 1
- Kirit P Gosalia MD
National Provider Directory
National Provider DirectoryLocations
5620 W Thunderbird Rd
Ste E1
Glendale, AZ 85306
Phone (602) 547-1623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192492800000",
"number": "1700812906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 W THUNDERBIRD RD",
"address_2": "SUITE E1",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064636",
"telephone_number": "602-978-0154",
"fax_number": "602-978-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 W THUNDERBIRD RD",
"address_2": "SUITE E1",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064636",
"telephone_number": "602-978-0154",
"fax_number": "602-978-2797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRIT P GOSALIA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2007-10-16",
"status": "A",
"authorized_official_last_name": "GOSALIA",
"authorized_official_first_name": "KIRIT",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-978-0154",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "11963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUN HEALTH PHYSICIANS",
"identifier": "WCFKQ",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215295",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kirit P Gosalia MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.