Provider Demographics
NPI:1225043912
Name:PILLAI, SREEJA J (MD)
Entity Type:Individual
Prefix:DR
First Name:SREEJA
Middle Name:J
Last Name:PILLAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-6110
Mailing Address - Country:US
Mailing Address - Phone:480-497-4772
Mailing Address - Fax:
Practice Address - Street 1:6950 E WILLIAMS FIELD RD
Practice Address - Street 2:CARL T HAYDEN VAMC SE EXTENSION CLINIC
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-6033
Practice Address - Country:US
Practice Address - Phone:602-222-6568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine