Provider Demographics
NPI:1487614913
Name:GILL, SATINDER S (MD)
Entity type:Individual
Prefix:
First Name:SATINDER
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GI CREDENTIALING DEPARTMENT
Mailing Address - Street 2:PO BOX 381468
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1468
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19455 DEERFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8102
Practice Address - Country:US
Practice Address - Phone:703-723-3670
Practice Address - Fax:703-723-8336
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101226376207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005886651Medicaid
P00089954OtherMEDICARE RAILROAD
2101256OtherFIRST HEALTH
265918OtherAMERIGROUP
2281866OtherUNITED HEALTHCARE
161650640OtherGROUP TAX ID #
2108755OtherALLIANCE MAMSI OPT CHOICE
3127432OtherAETNA HMO
VA005886651Medicaid
G01769C01OtherDC MEDICARE
H9900001OtherCAREFIRST
VA278305OtherANTHEM BCBS
VA00V226C20Medicare ID - Type Unspecified
VA005886651Medicaid