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NPI Code Detail

MEDICARE: ROBERT GIN M.D.

MEDICARE: ROBERT GIN 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
12085R0001XRadiation Oncology Physician23023AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811966575
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT GIN M.D.
Provider Business Mailing Address
First Line : PO BOX 910221
Second Line :
City : DALLAS
State : TX
Zip : 75391-0221
Country : US
Telephone Number : 520-519-7700
Fax Number :
Provider Business Practice Location Address
First Line : 1620 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2624
Country : US
Telephone Number : 520-791-7996
Fax Number : 520-791-3329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 02/23/2024

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