Provider Demographics
NPI:1255397139
Name:DHILLON-GILL, RAMANDEEP KAUR (DO)
Entity type:Individual
Prefix:
First Name:RAMANDEEP
Middle Name:KAUR
Last Name:DHILLON-GILL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 S CLEVELAND AVE STE 15A
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1371
Mailing Address - Country:US
Mailing Address - Phone:239-689-7411
Mailing Address - Fax:239-766-7753
Practice Address - Street 1:4650 S CLEVELAND AVE STE 15A
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1371
Practice Address - Country:US
Practice Address - Phone:239-689-7411
Practice Address - Fax:239-766-7753
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.006712207Q00000X
FLOS16594207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0080073Medicaid
OHF53684Medicare UPIN
OH0080073Medicaid