Organization
P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARAM K GILL MD (CEO-CORPORATION)
(209) 465-5550
Entity
Organization
Contact information
Practice address
999 S FAIRMONT AVE, STE 230, LODI, CA 95240-5100
(209) 465-5550
(209) 334-0127
Mailing address
PO BOX 1090, LODI, CA 95241-1090
(209) 465-5550
(209) 334-0127
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081080
—
CA
Enumeration date
08/18/2005
Last updated
09/16/2022
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