MEDICARE: KARANBIR SINGH GILL M.D.

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	208600000X	Surgery Physician	ME0051528	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04588	OTHER	FL	BC BS OF FL PROVIDER NO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679537088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARANBIR SINGH GILL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2699
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32513-2699
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5149 N 9TH AVE
Second Line	:	SUITE 246
City	:	PENSACOLA
State	:	FL
Zip	:	32504-8756
Country	:	US
Telephone Number	:	850-416-6159
Fax Number	:	850-416-7198

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	06/24/2010

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