Provider Demographics
NPI:1588672596
Name:GILL, NARINDER S (MD)
Entity Type:Individual
Prefix:
First Name:NARINDER
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10241 N SINCLAIR CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-3485
Mailing Address - Country:US
Mailing Address - Phone:718-501-8406
Mailing Address - Fax:718-501-8406
Practice Address - Street 1:911 SUNSET DR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5606
Practice Address - Country:US
Practice Address - Phone:831-637-5711
Practice Address - Fax:831-637-5711
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39271207R00000X
CAA90393207R00000X, 208M00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000374237OtherANTHEM
KY64100373Medicaid
I30863Medicare UPIN
KY0546213Medicare ID - Type Unspecified
KY0670603Medicare ID - Type Unspecified