Basic Information
Provider Information
NPI: 1821525437
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUNSAULUS
FirstName: MEGAN
MiddleName: EILEEN
NamePrefix: MS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3600 FORBES AVENUE FORBES TOWER
Address2: PLAZA LEVEL SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 4126476340
FaxNumber: 4126475809
Practice Location
Address1: UPMC PITTSBURGH ONE CHILDRENS HOSPITAL DRIVE
Address2: 4401 PENN AVENUE 5TH FLOOR FACULTY PAVILLION
City: PITTSBURGH
State: PA
PostalCode: 15224
CountryCode: US
TelephoneNumber: 4126925540
FaxNumber: 7347634208
Other Information
ProviderEnumerationDate: 05/12/2017
LastUpdateDate: 05/01/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/01/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X4301111853MIY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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