Provider Demographics
NPI:1073825444
Name:GILL, SUKHDEEP (MD)
Entity Type:Individual
Prefix:DR
First Name:SUKHDEEP
Middle Name:
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W NEW YORK ST
Mailing Address - Street 2:APT 301
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3296
Mailing Address - Country:US
Mailing Address - Phone:314-616-5305
Mailing Address - Fax:
Practice Address - Street 1:541 CLINICAL DRIVE, ROOM 370
Practice Address - Street 2:INDIANA UNIVERSITY SCHOOL OF MEDICINE
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:314-616-5305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010017399207R00000X
IN11017350A207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology