Provider Demographics
NPI:1932465895
Name:GILL, AMBER RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:RAE
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11736
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-0736
Mailing Address - Country:US
Mailing Address - Phone:808-292-2745
Mailing Address - Fax:808-447-8715
Practice Address - Street 1:4211 WAIALAE AVE STE 203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5312
Practice Address - Country:US
Practice Address - Phone:808-670-3333
Practice Address - Fax:808-447-8715
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI18537207N00000X
TXBP10043088207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology