Provider Demographics
NPI:1881869642
Name:GADGIL, MILIND SATISH (MD)
Entity type:Individual
Prefix:DR
First Name:MILIND
Middle Name:SATISH
Last Name:GADGIL
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 1:1 RIVERFRONT PLZ
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2986
Mailing Address - Country:US
Mailing Address - Phone:303-549-3778
Mailing Address - Fax:
Practice Address - Street 1:5798 BEELER CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3999
Practice Address - Country:US
Practice Address - Phone:303-549-3778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO498212084P0800X, 2084P0804X
390200000X
ME26223103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO023472OtherKAISER COMMERCIAL NUMBER
CO20286538Medicaid
CO20286538Medicaid