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P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP INC. NPI 1386636165


NPI Information

NPI: 1386636165
Provider Name: P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
999 S FAIRMONT AVE
STE 230
LODI, CA
ZIP 95240
Phone: (209) 465-5550
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P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC. is an obstetrics gynecology in Lodi, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC. NPI is 1386636165. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

999 S FAIRMONT AVE
STE 230
LODI, CA
ZIP 95240-100
Phone: (209) 465-5550
Fax: (209) 334-0127

The provider's authorized official is Param K Gill .
The authorized official title is Ceo-corporation and has the following contact phone number (209) 465-5550.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 9/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0081080MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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