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Organization
GILL MEDICAL GROUP, INC.
Active
Organization
GILL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY KAUR SRAO MD (PRESIDENT)
(209) 334-0799
Entity
Organization
Contact information
Practice address
999 S FAIRMONT AVE STE 235, LODI, CA 95240-5100
(209) 334-0799
Mailing address
PO BOX 2597, LODI, CA 95241-2597
(209) 334-6583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A131215
CA
Other
Enumeration date
11/08/2017
Last updated
12/11/2017
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