Individual
BEANT SINGH GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11340 PEMBROOKE SQ STE 201, WALDORF, MD 20603
(301) 705-5802
(301) 843-1704
Mailing address
PO BOX 488137, BOSTON, MA 20223-8837
(888) 846-5527
(607) 324-7615
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD457962
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2011
Last updated
01/24/2019
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