Individual
AISHA GILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 S MAIN ST FL 10, FORT WORTH, TX 76104-4917
(817) 702-4151
Mailing address
920 STANTON L YOUNG BLVD # 3440, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7398
OK
208D00000X
General Practice Physician
7398
OK
390200000X
Student in an Organized Health Care Education/Training Program
7398
OK
Other
Enumeration date
03/31/2020
Last updated
07/15/2025
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