Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD60942762 | WA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD60942762 | WA |
NPI | 1255783494 |
---|---|
Provider Name | Dr. Navdeep Gill |
First Address | Richland, WA 99352-9532 |
Second Address | Kennewick, WA 99336-7802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2016 |
Last Update Date | 04/01/2021 |