Individual
KANWAR IQBAL SINGH GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E MAIN ST STE 6, SMITHTOWN, NY 11787-2900
(631) 994-1200
(631) 994-1212
Mailing address
169 COMMACK RD STE 246, COMMACK, NY 11725-3442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262723
NY
207RC0000X
Cardiovascular Disease Physician
262723
NY
207RI0011X
Interventional Cardiology Physician
0101263665
VA
207RI0011X
Interventional Cardiology Physician
Primary
262723
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2008
Last updated
03/15/2021
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