Basic Information
Provider Information
NPI: 1245596345
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOSAI
FirstName: ERIKA
MiddleName: V
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BIRDSALL
OtherFirstName: ERIKA
OtherMiddleName: V
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 102 IRVING ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20010
CountryCode: US
TelephoneNumber: 2028771653
FaxNumber: 2022918147
Practice Location
Address1: 102 IRVING ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20010
CountryCode: US
TelephoneNumber: 2028771653
FaxNumber: 2022918147
Other Information
ProviderEnumerationDate: 04/03/2012
LastUpdateDate: 01/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2081P0004XMD045294DCN Allopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
208100000XMD045294DCY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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