Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2010017399 | MO |
Y | 111NI0900X | Internist | 2010017399 | MO |
N | 207RR0500X | Rheumatology | 11017350A | IN |
NPI | 1073825444 |
---|---|
Provider Name | Dr. Sukhdeep Gill |
First Address | Indianapolis, IN 46202-3296 |
Second Address | Indianapolis, IN 46202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 26/06/2013 |