Provider Demographics
NPI:1245076629
Name:GILL, JASKARAN K
Entity type:Individual
Prefix:
First Name:JASKARAN
Middle Name:K
Last Name:GILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4339 N SANDRINI AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93723-4088
Mailing Address - Country:US
Mailing Address - Phone:559-801-1316
Mailing Address - Fax:
Practice Address - Street 1:4339 N SANDRINI AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93723-4088
Practice Address - Country:US
Practice Address - Phone:559-801-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)