East End Primary Care Pllc

LBN: Ravi S Gill Md
East End Primary Care Pllc is an health care organization with primary practice located at 907 Lyndon Ln , Louisville KY 40222-3815. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Ravi S Gill Md can be contacted via phone (502) 412-1904, or through Gill, Ravi via phone (502) 412-1904.

Contact Information

Primary practice address
907 Lyndon Ln Louisville KY 40222-3815
Phone: (502) 412-1904
Fax: (502) 412-1905
Website:
Map and Directions
Authorized official contact:
Name: Gill, Ravi
Phone: (502) 412-1904

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 31527 Kentucky

Profile Details

NPI number 1457418832
LBN Legal business name Ravi S Gill Md
DBA Doing business as East End Primary Care Pllc
Authorized official Gill, Ravi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Jun 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457418832 NPPES
Other 1829196 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 64315278 OTHER ID NUMBER-COMMERCIAL NUMBER

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