Provider Demographics
NPI:1396359063
Name:GILL, RABIA (MBBS, MD)
Entity Type:Individual
Prefix:DR
First Name:RABIA
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 6TH ST APT 12F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3649
Mailing Address - Country:US
Mailing Address - Phone:773-904-6640
Mailing Address - Fax:
Practice Address - Street 1:501 6TH ST APT 12F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3649
Practice Address - Country:US
Practice Address - Phone:773-904-6640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.075454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine