Organization
GOLLA ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN GOLLA MD (OWNER)
(412) 897-6411
Entity
Organization
Contact information
Practice address
107 GAMMA DR STE 110, PITTSBURGH, PA 15238-2917
(412) 897-6411
Mailing address
107 GAMMA DR STE 110, PITTSBURGH, PA 15238-2917
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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