Individual
DR. RAJDEEP GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 710, NORFOLK, VA 23507-1914
(757) 446-5884
(757) 446-5918
Mailing address
825 FAIRFAX AVE, SUITE 710, NORFOLK, VA 23507-1914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0116030599
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116030599
VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
04/03/2017
Last updated
06/21/2019
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