# RAJI M GILL DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oklahoma Urology Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679770176
- **Authorized official:** DR. RAJI M GILL DO (PRESIDENT)
- **Authorized official phone:** (918) 458-5700

## Contact information

- **Practice address:** 1500 E DOWNING ST STE 100, TAHLEQUAH, OK 74464-3354
- **Practice address phone:** (918) 458-5700
- **Practice address fax:** (918) 458-5790
- **Mailing address:** 1500 EAST DOWNING, SUITE 100, TAHLEQUAH, OK 74404
- **Mailing address phone:** (918) 458-5700
- **Mailing address fax:** (918) 458-5790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 3753 | OK | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 05/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100125770A | — | OK |
| 01 | — | 684532300 | DEPT OF LABOR | — |