Basic Information
| Provider Information | |||||||||
| NPI: | 1033323381 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GILL | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | TAIMOOR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 N HIGHLAND AVE | ||||||||
| Address2: | STE 120 | ||||||||
| City: | SHERMAN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750927383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136242070 | ||||||||
| FaxNumber: | 5136242077 | ||||||||
| Practice Location | |||||||||
| Address1: | 7502 STATE RD | ||||||||
| Address2: | MEDICAL OFFICE BUILDING II, SUITE 2210 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452552596 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136242070 | ||||||||
| FaxNumber: | 5136242077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2007 | ||||||||
| LastUpdateDate: | 11/29/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 22721 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 22721 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | Q3367 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 35093901 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 2754685 | 05 | OH | MEDICAID |