MEDICARE: RAMANDEEP KAUR DHILLON-GILL D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34.006712	OH
2	207Q00000X	Family Medicine Physician	OS16594	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255397139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMANDEEP KAUR DHILLON-GILL D.O.

Provider Business Mailing Address
First Line	:	4650 S CLEVELAND AVE STE 15A
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1371
Country	:	US
Telephone Number	:	239-689-7411
Fax Number	:	239-766-7753

Provider Business Practice Location Address
First Line	:	4650 S CLEVELAND AVE STE 15A
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1371
Country	:	US
Telephone Number	:	239-689-7411
Fax Number	:	239-766-7753

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	06/07/2024

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Directions to “ RAMANDEEP KAUR DHILLON-GILL D.O.” Practice Location

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