Individual
ALEX S GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958
Mailing address
2610 ALLEN ST, APT 4306, DALLAS, TX 75204-8526
(817) 905-5749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02005177A
IN
207R00000X
Internal Medicine Physician
2762
TN
207R00000X
Internal Medicine Physician
L6911
TX
208M00000X
Hospitalist Physician
20080
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100195377
ANTHEM PTAN
IN
05
—
1386608255
—
NC
05
—
1386608255
—
VA
05
—
161326701
—
TX
05
—
300007011
—
IN
05
—
Q014384
—
TN
Enumeration date
04/17/2006
Last updated
05/12/2025
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