Provider Demographics
NPI:1508851254
Name:GILL, KULJIT S (MD)
Entity Type:Individual
Prefix:DR
First Name:KULJIT
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KULJIT
Other - Middle Name:S
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:21212 NORTHWEST FWY
Mailing Address - Street 2:SUITE 515
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5884
Mailing Address - Country:US
Mailing Address - Phone:832-912-7777
Mailing Address - Fax:832-912-7776
Practice Address - Street 1:10669 HUFFMEISTER RD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3183
Practice Address - Country:US
Practice Address - Phone:281-761-2020
Practice Address - Fax:281-800-1425
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0202207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL0202OtherMEDICAL LICENSE
TXL0202OtherMEDICAL LICENSE
TX8F5039Medicare PIN