GULTASIB KHAN GILL


Address: 110 Memorial Hospital Dr, Huntsville, TX 77340-4940
Phone: 9362913411

GULTASIB KHAN GILL (NPI# 1306125521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306125521
Entity Type Individual
Full Name GULTASIB KHAN GILL
Credential M.D.
Practice Address 110 Memorial Hospital Dr
Huntsville
TX 77340-4940
Mailing Address 520 N 4th St
Springfield
IL 62702-5238
Practice Telephone 9362913411
Mailing Telephone 2177578161
Mailing Fax Number 2177578161
Enumeration Date 2011-08-04
Last Update Date 2020-01-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine R5554 TX Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine R5554 TX Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 036134399 IL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 125.060613 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 400741101 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
520 N 4th St, Springfield, IL 627025238 2177578161 2177578161
110 Memorial Hospital Dr, Huntsville, TX 773404940 9362913411

Office Location

Street Address 110 MEMORIAL HOSPITAL DR
City HUNTSVILLE
State TX
Zip Code 77340-4940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225699 Walker County Hospital Corporation General Acute Care Hospital 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2005-06-20
1245878990 Huntsville Community Hospital, Inc. General Acute Care Hospital 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2019-12-12
1134767882 Huntsville Community Hospital, Inc. Rehabilitation Unit 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2019-12-12
1043777923 Grace Amah Nurse Practitioner 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2019-02-27
1992282701 Lakewood Arthritis and Osteoporosis Clinic Pllc Internal Medicine 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2018-07-24
1972013266 Community Pathology Associates of Texas Pathology 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2017-10-02
1093196529 Jennifer Reeves Nurse Practitioner 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2015-06-10
1619363462 Anh-linh Dang Bui Hospitalist 110 Memorial Hospital Dr, Huntsville, TX 77340 2015-04-08
1336533272 Sally Shaver Nurse Practitioner 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2015-03-27
1477812477 Sonal Arvind Patel Hospitalist 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 2012-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023619871 Rhonda Reynolds Pharmacist 141 I45 S, Huntsville, TX 77340 2020-11-06
1902407794 Tristan Elliston Pharmacist 145 Interstate 45 S, Huntsville, TX 77340 2020-11-06
1396362331 Elizabeth Alexander Registered Nurse 1451 River Oaks Dr., Huntsville, TX 77340 2020-06-25
1598399107 Haley Lord Specialist/Technologist 1804 Bobby K Marks Dr, Huntsville, TX 77340 2020-02-24
1568022077 Jessica Olsen Jordan Registered Nurse 1905 University Ave, Huntsville, TX 77340 2019-06-17
1861962136 Samantha Joleen Bioseh Nurse Practitioner 179 I-45, Suite 300, Huntsville, TX 77340 2018-11-29
1528573987 Alan Wu Dentist 245 Interstate 45 S Ste D, Huntsville, TX 77340 2017-12-07
1285146282 Brandi Elizabeth Bonin Dietitian, Registered 1217 Avenue M Ste 113, Huntsville, TX 77340 2017-10-30
1558889030 Mext, LLC Audiologist-Hearing Aid Fitter 179 Ih 45 S Ste 400, Huntsville, TX 77340 2017-09-05
1720518111 H-e-b, Lp Clinical Medical Laboratory 1702 11th St, Huntsville, TX 77340 2017-06-18
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073930251 Rachel Michelle Giyanani Emergency Medicine 100 Washington St Ne, Huntsville, AL 35801-4860 2014-03-25
1720286115 Angelique A Andrews Emergency Medicine 813 Franklin St Se, Huntsville, AL 35801-4311 2007-07-06
1255465142 Ihc Health Services Inc. Emergency Medicine 3925 Snowbasin Rd, Huntsville, UT 84317 2007-03-15
1568548931 Jon Michael Owings Emergency Medicine 111 Jenni Leigh Dr Nw, Huntsville, AL 35806-2209 2006-10-28
1992720387 Walter D. Toronjo Emergency Medicine 521 I-h 45 S., Ste. 11, Huntsville, TX 77340 2006-07-13
1386680965 Benjamin B Bailey Emergency Medicine 3007d Memorial Pkwy Sw, Huntsville, AL 35801-5304 2006-06-21
1083658488 Madison S Crouch Emergency Medicine 5405 Whitesburg Dr S, Huntsville, AL 35802-1644 2006-06-15
1043252463 Brian J Kempton Emergency Medicine 540 Interstate 45 S, Huntsville, TX 77340-5720 2006-06-11
1841239654 Edward G. Witt Emergency Medicine 11220 Memorial Pkwy Sw, Suite Ab, Huntsville, AL 35803-4415 2006-06-06
1316994486 Henry Morel Gaillard Emergency Medicine 2222 Governors Bend Road, Health Services, Inc., Huntsville, AL 35801-1371 2006-05-27
Find all providers in HUNTSVILLE

Competitor

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City HUNTSVILLE
Zip Code 77340

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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