Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shivsai Gongalla, MD

Individual provider Psychiatry Physician · NPI 1376228239

Dr. Shivsai Gongalla, MD is a Psychiatry Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Lehigh Ave Unit N238
Philadelphia, PA 19125-1012
Phone: (215) 707-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MT229487 (PA)

Record details

NPI number1376228239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

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