| Jatinderpal Gosal, MD | |
| 
					2601 E Roosevelt St, Phoenix, AZ 85008-4973  | |
| (602) 344-5461 | |
| (602) 344-5805 | 
| Full Name | Jatinderpal Gosal | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Emergency Medicine | 
| Location | 2601 E Roosevelt St, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780116673 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 69511 (Arizona) | Primary | 
| Entity Name | North Valley Emergency Specialists | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285655209 PECOS PAC ID: 4284537416 Enrollment ID: O20040127000856  | 
| Entity Name | Progressive Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331  | 
| Entity Name | District Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583  | 
| Entity Name | Cep America- Arizona, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jatinderpal Gosal, MD 2929 E Thomas Rd, Phoenix, AZ 85016-8034 Ph: (602) 470-5000  | Jatinderpal Gosal, MD 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (602) 344-5461  | 
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198  | |
Laura Gardner Hamant,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521  | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263  | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006  | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Alexandra Palacios,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945  |