Provider Demographics
NPI:1417980376
Name:GILL, ZEBA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEBA
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2819 REDROCK TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-3519
Mailing Address - Country:US
Mailing Address - Phone:210-632-6296
Mailing Address - Fax:210-632-6296
Practice Address - Street 1:2819 REDROCK TRL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-3519
Practice Address - Country:US
Practice Address - Phone:210-632-6296
Practice Address - Fax:210-632-6296
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1448208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10725207OtherCAQH
TXG40258Medicare UPIN