Provider Demographics
NPI:1376566158
Name:GILL, ZORA S (MD)
Entity Type:Individual
Prefix:MR
First Name:ZORA
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3550 Q ST
Mailing Address - Street 2:STE 301
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1645
Mailing Address - Country:US
Mailing Address - Phone:661-322-8000
Mailing Address - Fax:661-322-8222
Practice Address - Street 1:3551 Q STREET
Practice Address - Street 2:103
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1659
Practice Address - Country:US
Practice Address - Phone:661-322-8000
Practice Address - Fax:661-322-8222
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2021-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA38733208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020012650OtherRAILROAD MEDICARE
CAEX314ZOtherMEDICARE PTAN
CAA28709Medicaid
CAA28709Medicare UPIN