Organization
RAVI S GILL MD
Active
Organization
RAVI S GILL MD
Active
Other names
EAST END PRIMARY CARE PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI GILL (OWNER)
(502) 412-1904
Entity
Organization
Contact information
Practice address
907 LYNDON LN, LOUISVILLE, KY 40222-3815
(502) 412-1904
(502) 412-1905
Mailing address
907 LYNDON LN, LOUISVILLE, KY 40222-3815
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
31527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829196
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
64315278
—
KY
Enumeration date
01/03/2007
Last updated
06/17/2008
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