Gill Internal Medicine L.l.c. | |
111 E Tucker Rd Ste F Liberal KS 67901-2191 | |
(620) 624-1100 | |
Not Available |
Full Name | Gill Internal Medicine L.l.c. |
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Speciality | Internal Medicine |
Location | 111 E Tucker Rd Ste F, Liberal, Kansas |
Authorized Official Name and Position | Varinder Singh Gill (MANAGER/OWNER) |
Authorized Official Contact | 6206241100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gill Internal Medicine L.l.c. Po Box 7 Liberal KS 67905-0007 Ph: (620) 624-1100 | Gill Internal Medicine L.l.c. 111 E Tucker Rd Ste F Liberal KS 67901-2191 Ph: (620) 624-1100 |
NPI Number | 1578833141 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 01/12/2012 |
Medicare PECOS PAC ID | 1557528874 |
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Medicare Enrollment ID | O20120127000967 |
Identifier | Type | State | Issuer |
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1578833141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4-29100 (Kansas) | Primary |
Provider Name | Varinder S Gill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669586855 PECOS PAC ID: 2163314840 Enrollment ID: I20040326001228 |
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