Gill, Tariq

Gill, Tariq is an individual health care provider with primary practice located at 711 Troy-Schenectady Road , Latham NY 12110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gill, Tariq can be contacted via phone (518) 782-3700.

Contact Information

Primary practice address
711 Troy-Schenectady Road Latham NY 12110
Fax: (518) 782-3799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 146501 New York

Profile Details

NPI number 1629069679
LBN Legal business name Gill, Tariq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629069679 NPPES
New York MEDICAID 00864902

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