Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 35.135640 | OH |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD-43072 | IA |
NPI | 1013352004 |
---|---|
Provider Name | Ravneet Kaur Gill |
First Address | Cincinnati, OH 45249-1650 |
Second Address | Cincinnati, OH 45249-1650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2013 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD-43072 | MEDICAL LICENSE (01) | IA |