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Organization
SOUTHWEST MEDICAL CENTER, INC
Active
Organization
SOUTHWEST MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMLESH B GOSAL MD (OWNER)
(724) 239-4700
Entity
Organization
Contact information
Practice address
119 WILSON RD, BENTLEYVILLE, PA 15314-1027
(724) 239-4700
(724) 239-3262
Mailing address
119 WILSON RD, BENTLEYVILLE, PA 15314-1027
(724) 239-4700
(724) 239-3262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD39000L
PA
207R00000X
Internal Medicine Physician
MD40975E
PA
207R00000X
Internal Medicine Physician
MD420170
PA
207R00000X
Internal Medicine Physician
MD420995
PA
363A00000X
Physician Assistant
Primary
MA002213L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA051718
REGINA M HUDAK, PA-C
PA
Enumeration date
06/22/2005
Last updated
09/11/2025
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