Provider Demographics
NPI:1891015863
Name:KEVIN M GIL, MD LLC
Entity type:Organization
Organization Name:KEVIN M GIL, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-610-6313
Mailing Address - Street 1:361 WINTER WALK DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-7806
Mailing Address - Country:US
Mailing Address - Phone:301-610-6313
Mailing Address - Fax:301-610-6318
Practice Address - Street 1:14816 PHYSICIANS LN
Practice Address - Street 2:SUITE 253
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3944
Practice Address - Country:US
Practice Address - Phone:301-610-6313
Practice Address - Fax:301-610-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035192261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care