Organization
NIKITA GILL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA K. GILL M.D. (PRESIDENT)
(530) 410-8007
Entity
Organization
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2549
(530) 225-6000
Mailing address
PO BOX 990208, REDDING, CA 96099-0208
(530) 212-0073
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A77028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2930889
CORPORATION NUMBER
CA
01
—
A77028
LICENSE NUMBER
CA
Enumeration date
11/28/2006
Last updated
08/07/2023
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