MEDICARE: NADIA GILL MD

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	2084P0800X	Psychiatry Physician	35098302	OH
2	2084P0800X	Psychiatry Physician	18559	MN

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

General Provider Information

NPI Number	:	1770628893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA GILL MD

Provider Business Mailing Address
First Line	:	PO BOX 350
Second Line	:
City	:	GRANVILLE
State	:	OH
Zip	:	43023-0350
Country	:	US
Telephone Number	:	614-458-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MESSIMER DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-3627
Country	:	US
Telephone Number	:	220-564-4877
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/24/2023

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Directions to “ NADIA GILL MD” Practice Location

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