Provider Demographics
NPI:1528101979
Name:GILL, GOVIND SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:GOVIND
Middle Name:SINGH
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 1:69 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:845-471-7272
Mailing Address - Fax:845-454-9988
Practice Address - Street 1:69 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-471-7272
Practice Address - Fax:845-454-9988
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY 198088207RE0101X
NY198088207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN75048OtherHEALTH NET
NY01617578Medicaid
NY1386892OtherFIRST HEALTH
NY2506330OtherGHI
NY287021OtherMVP
NY3350919651OtherCLIA
NYBCBSOther069811
NY460001403OtherMCRR RR
NY914220OtherAETNA
NYN75048OtherPHYSICIANS HEALTH
NYP469295OtherOXFORD
NY31482OtherWELLCARE
NY386892OtherFIRST HEALTH
NY460001403OtherMEDICARE RAILROAD
NY000472210001OtherHEALTH NOW
NYGG00698110OtherBLUE CROSS BLUE SHIELD
NY460001403OtherMCRR RR
NY069811Medicare PIN
NYG23293Medicare UPIN