Organization
CHANDRASEKHAR GOLLA MD
Active
Other names
McKnight Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRASEKHAR GOLLA MD (MD SOLE PROPRIETOR)
(412) 364-0333
Entity
Organization
Contact information
Practice address
9401 MCKNIGHT RD, SUITE 302, PITTSBURGH, PA 15237-6000
(412) 364-0333
Mailing address
9401 MCKNIGHT RD, SUITE 302, PITTSBURGH, PA 15237-6000
(412) 364-0333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0386611L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006812260003
—
PA
01
—
441726
BLUE SHIELD
PA
Enumeration date
05/01/2008
Last updated
01/25/2011
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