Provider Demographics
NPI:1871973289
Name:GILL, HARBANS KAUR (MD (MBBS))
Entity type:Individual
Prefix:
First Name:HARBANS
Middle Name:KAUR
Last Name:GILL
Suffix:
Gender:F
Credentials:MD (MBBS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 CHANDLER WAY
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993
Mailing Address - Country:US
Mailing Address - Phone:530-558-4010
Mailing Address - Fax:424-238-5200
Practice Address - Street 1:1532 CHANDLER WAY
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993
Practice Address - Country:US
Practice Address - Phone:530-558-4010
Practice Address - Fax:530-674-4105
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZREGNO:2273842207V00000X
ZZREG.NO:2273842208D00000X
CSANO:4109246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice