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NPI Code Detail

MEDICARE: MRS. SHILLENA N PETERS-GILL M.D.

MEDICARE: MRS. SHILLENA N PETERS-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
1207V00000XObstetrics & Gynecology Physician25MA07861900NJ
2207V00000XObstetrics & Gynecology PhysicianD64932MD

General Provider Information

NPI Number : 1932139268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHILLENA N PETERS-GILL M.D.
Provider Business Mailing Address
First Line : 2101 E JEFFERSON ST
Second Line : KAISER PERMANENTE MEDICARE ENROLLMENT
City : ROCKVILLE
State : MD
Zip : 20852-4908
Country : US
Telephone Number : 301-816-2424
Fax Number :
Provider Business Practice Location Address
First Line : 7141 SECURITY BLVD
Second Line : KAISER PERMANENTE WOODLAWN MEDICAL CENTER
City : BALTIMORE
State : MD
Zip : 21244-1811
Country : US
Telephone Number : 443-663-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 06/25/2021

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Directions to “ MRS. SHILLENA N PETERS-GILL M.D.” Practice Location

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