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NPI Code Detail

MEDICARE: M. GILL, MD, P.C. INC

MEDICARE: M. GILL, MD, P.C. INC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1902603996
Entity Type Code : Organization
Provider Name (Legal Business Name) : M. GILL, MD, P.C. INC
Provider Business Mailing Address
First Line : 4110 ROCKWOOD CT
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-6317
Country : US
Telephone Number : 559-232-7911
Fax Number :
Provider Business Practice Location Address
First Line : 1400 EXPO PKWY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4230
Country : US
Telephone Number : 916-489-3336
Fax Number :
Authorized Official
Title or Position : MD
Name : MANPREET GILL
Credential :
Telephone Number : 559-232-7911
Provider Enumeration Date : 02/26/2025
Last Update Date : 04/10/2025

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