Oliver D Gilliam in South Bend - Gastroenterology

Oliver D Gilliam - NPI 1497759765

Oliver D Gilliam is a Gastroenterology in South Bend, Indiana. Oliver D Gilliam practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Oliver D Gilliam is 1497759765. The last update date is 2011-01-21.

Oliver D Gilliam's current location address is 17501 Generations Dr, South Bend, Indiana. You can contact this provider via phone number 5742340049 and fax number 5742512861. The mailing address for Oliver D Gilliam is 17501 Generations Dr, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Oliver D Gilliam
Address 17501 Generations Dr, South Bend, Indiana
Phone Number 5742340049
Fax Number 5742512861
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1497759765
Provider Enumeration Date 2005-06-02
Last Updated Date 2011-01-21

Provider Mailing Address Detail

Address 17501 Generations Dr
City South Bend
State Indiana (IN)
Post Code 4663515890
Phone Number 5742340049
Fax Number 5742512861

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 01035882A
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100090510 IN --
2738533002 IN CIGNA
84427 IN ANTHEM
4667992 IN AETNA
100010837 IN RAILROAD MEDICARE

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FAQs about Oliver D Gilliam

What is the unique 10-digit identifier code issued to Oliver D Gilliam by the Centers for Medicare & Medicaid Services?

The Oliver D Gilliam has been assigned the NPI (National Provider Identifier) 1497759765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Oliver D Gilliam?

The Oliver D Gilliam is situated at 17501 Generations Dr, in the city of South Bend, state of IN, with the zip code 4663515890.

What is Oliver D Gilliam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Oliver D Gilliam's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497759765 to Oliver D Gilliam?

The Oliver D Gilliam received its 1497759765 assignment from the Centers for Medicare & Medicaid Services on 2005-06-02.

As of what date were the details pertaining to Oliver D Gilliam last refreshed?

The information related to the Oliver D Gilliam, including its address, specialty, and other relevant details, was last updated on 2011-01-21.

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