Provider Demographics
NPI:1558684316
Name:HARRY GILL, MD, PHD, PC
Entity Type:Organization
Organization Name:HARRY GILL, MD, PHD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRESTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:202-425-4636
Mailing Address - Street 1:2907 ELLICOTT ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1022
Mailing Address - Country:US
Mailing Address - Phone:202-360-4787
Mailing Address - Fax:
Practice Address - Street 1:4501 CONNECTICUT AVE NW
Practice Address - Street 2:STE 1011
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-3710
Practice Address - Country:US
Practice Address - Phone:202-360-4787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD341022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty