Individual
RAVI GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 367-3360
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 367-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264190A
—
IN
05
—
65943680
—
KY
Enumeration date
07/19/2005
Last updated
04/03/2024
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