Healthcare Provider Details

I. General information

NPI: 1609972983
Provider Name (Legal Business Name): PARKASH GILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 SAN PABLO STREET SUITE 1000
LOS ANGELES CA
90033-4528
US

IV. Provider business mailing address

P.O. BOX 31218
LOS ANGELES CA
90031-0218
US

V. Phone/Fax

Practice location:
  • Phone: 626-457-5839
  • Fax:
Mailing address:
  • Phone: 626-457-5839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberA36570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: