Provider Demographics
NPI:1518273945
Name:GILL, KANWAR ZAMEER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:KANWAR ZAMEER
Middle Name:SINGH
Last Name:GILL
Suffix:
Gender:M
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:PO BOX 1514
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30515-8514
Mailing Address - Country:US
Mailing Address - Phone:661-992-9919
Mailing Address - Fax:
Practice Address - Street 1:102 MARY ALICE PARK RD STE 503
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2697
Practice Address - Country:US
Practice Address - Phone:470-238-8996
Practice Address - Fax:470-202-0144
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA071952207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003148314AMedicaid
202I110427OtherMEDICARE PTAN