Provider Demographics
NPI:1023707262
Name:GILL, HARJOT KAUR (MD)
Entity type:Individual
Prefix:
First Name:HARJOT
Middle Name:KAUR
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 EAST 210 STREET
Mailing Address - Street 2:
Mailing Address - City:BRONX, NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-4321
Mailing Address - Fax:
Practice Address - Street 1:111 EAST 210 STREET
Practice Address - Street 2:
Practice Address - City:BRONX, NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2024-07-31
Deactivation Date:2023-12-07
Deactivation Code:
Reactivation Date:2024-07-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program