Provider Demographics
NPI:1154493245
Name:GILL, SUNIT (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIT
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16830 NORTHGATE DR UNIT 150
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5778
Mailing Address - Country:US
Mailing Address - Phone:038-057-8793
Mailing Address - Fax:303-805-8076
Practice Address - Street 1:16830 NORTHGATE DR UNIT 150
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5778
Practice Address - Country:US
Practice Address - Phone:303-805-7879
Practice Address - Fax:303-805-8076
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO41378208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49151045Medicaid