Individual
DR. RAJI M GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 EAST DOWNING, SUITE 100, TAHLEQUAH, OK 74464
(918) 458-5700
(918) 458-5790
Mailing address
1500 EAST DOWNING SUITE 100, TAHLEQUAH, OK 74464
(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
—
604532300
DEPT OF LABOR
—
Enumeration date
10/24/2006
Last updated
09/30/2009
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