Provider Demographics
NPI:1598766305
Name:GILL, HARMEET S (MD)
Entity Type:Individual
Prefix:
First Name:HARMEET
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3303 E BASELINE RD
Mailing Address - Street 2:#208
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2738
Mailing Address - Country:US
Mailing Address - Phone:480-962-1650
Mailing Address - Fax:480-962-1883
Practice Address - Street 1:3303 E BASELINE RD
Practice Address - Street 2:#208
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2738
Practice Address - Country:US
Practice Address - Phone:480-962-1650
Practice Address - Fax:480-962-1883
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2010-01-19
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Provider Licenses
StateLicense IDTaxonomies
AZ23965207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F73387Medicare UPIN
AZ21050Medicare ID - Type Unspecified