Provider Demographics
NPI:1093724619
Name:HARRY GILL MD PHD PLLC
Entity Type:Organization
Organization Name:HARRY GILL MD PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEKSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARPURA-GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:202-425-4636
Mailing Address - Street 1:4501 CONNECTICUT AVE NW
Mailing Address - Street 2:STE 1011
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008
Mailing Address - Country:US
Mailing Address - Phone:202-360-4787
Mailing Address - Fax:202-360-4884
Practice Address - Street 1:4501 CONNECTICUT AVE NW
Practice Address - Street 2:STE 1011
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-360-4787
Practice Address - Fax:202-360-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD341022084P0800X
MDD00582112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G02271Medicare ID - Type UnspecifiedGROUP NUMBER