Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 54462 | AZ |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 54462 | AZ |
NPI | 1114333911 |
---|---|
Provider Name | Dr. Dapinderjit Singh Gill |
First Address | Surprise, AZ 85374-4580 |
Second Address | Surprise, AZ 85374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2014 |
Last Update Date | 04/08/2018 |