Healthcare Provider Details

I. General information

NPI: 1952746471
Provider Name (Legal Business Name): HARRY GILL, MD, PHD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5028 WISCONSIN AVE NW SUITE 400
WASHINGTON DC
20016-4118
US

IV. Provider business mailing address

5028 WISCONSIN AVE NW SUITE 400
WASHINGTON DC
20016-4118
US

V. Phone/Fax

Practice location:
  • Phone: 202-360-4787
  • Fax: 202-360-4884
Mailing address:
  • Phone: 202-360-4787
  • Fax: 202-360-4884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HARWANT S GILL
Title or Position: OWNER
Credential: MD, PHD
Phone: 202-360-4787