Organization
RAJI M GILL DO PC
Active
Other names
Oklahoma Urology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJI M GILL DO (PRESIDENT)
(918) 458-5700
Entity
Organization
Contact information
Practice address
1500 E DOWNING ST STE 100, TAHLEQUAH, OK 74464-3354
(918) 458-5700
(918) 458-5790
Mailing address
1500 EAST DOWNING, SUITE 100, TAHLEQUAH, OK 74404
(918) 458-5700
(918) 458-5790
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
3753
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125770A
—
OK
01
—
684532300
DEPT OF LABOR
—
Enumeration date
06/28/2007
Last updated
05/07/2025
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