Provider Demographics
NPI:1720096639
Name:GILL, AJAIPAL S (MD)
Entity Type:Individual
Prefix:MR
First Name:AJAIPAL
Middle Name:S
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 1:1215 PLUMAS ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4085
Mailing Address - Country:US
Mailing Address - Phone:530-749-9270
Mailing Address - Fax:530-749-9259
Practice Address - Street 1:1215 PLUMAS ST STE 1800
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4085
Practice Address - Country:US
Practice Address - Phone:530-749-9270
Practice Address - Fax:530-749-9259
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55220207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A552200Medicaid
F71083Medicare UPIN
CA00A552200Medicaid