Provider Demographics
NPI:1235291659
Name:GILL, RASHID (MD)
Entity Type:Individual
Prefix:
First Name:RASHID
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 1:12350 FOX MEADOW LANE
Mailing Address - Street 2:
Mailing Address - City:W FRIENDSHIP
Mailing Address - State:MD
Mailing Address - Zip Code:21794
Mailing Address - Country:US
Mailing Address - Phone:410-489-0983
Mailing Address - Fax:
Practice Address - Street 1:75TH ST MEDICAL 7408 COASTAL HWY
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842
Practice Address - Country:US
Practice Address - Phone:410-524-0075
Practice Address - Fax:410-524-0066
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD17690207P00000X, 207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D17690OtherMD LICENSE
D70381Medicare UPIN
5974A897Medicare ID - Type Unspecified