Provider Demographics
NPI:1467476283
Name:GILL, JANET DIANE B (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET DIANE
Middle Name:B
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIANE
Other - Middle Name:B
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:469 JUMPERS HOLE RD APT 2201
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-1771
Mailing Address - Country:US
Mailing Address - Phone:530-774-5391
Mailing Address - Fax:
Practice Address - Street 1:ANNE ARUNDEL MEDICAL CENTER
Practice Address - Street 2:2001 MEDICAL PARKWAY
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2140
Practice Address - Country:US
Practice Address - Phone:410-280-2260
Practice Address - Fax:410-280-2290
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66396207L00000X
MDD0045620207L00000X
VA0101058578207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G663960OtherBLUE SHIELD OF CA
CA00G663960Medicaid
CA00G663960OtherBLUE SHIELD OF CA
CAE86143Medicare UPIN
CA00G663960Medicaid
CAP00996302Medicare PIN