Healthcare Provider Details

I. General information

NPI: 1699022525
Provider Name (Legal Business Name): AMITOJ SINGH GILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4945 W CYPRESS AVE
VISALIA CA
93277-1592
US

IV. Provider business mailing address

4945 W CYPRESS AVE
VISALIA CA
93277-1592
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-3100
  • Fax:
Mailing address:
  • Phone: 559-624-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP27587
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number01081674A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number49062
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC195665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: