Provider Demographics
NPI:1376556043
Name:PILLAI, AJAY (MD)
Entity Type:Individual
Prefix:DR
First Name:AJAY
Middle Name:
Last Name:PILLAI
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 1:1503 LANSDOWNE AVE
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1330
Mailing Address - Country:US
Mailing Address - Phone:610-534-6140
Mailing Address - Fax:610-534-6144
Practice Address - Street 1:1503 LANSDOWNE AVE
Practice Address - Street 2:SUITE 3007
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1330
Practice Address - Country:US
Practice Address - Phone:610-534-6140
Practice Address - Fax:610-534-6144
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD417885207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI07021OtherSENIORPARTNER, HEALTHPART
PA1616703OtherHIGHMARK BLUE SHIELD
PA30015352OtherKEYSTONE MERCY HEALTH PLN
PAP3426483OtherOXFORD HEALTH PLAN
PA1106922OtherCIGNA INSURANCE CO.
PA2294734000OtherINDEPENDENCE BLUE CROSS
PA079557OtherAETNA U.S. HEALTHCARE
PA1009363640001Medicaid
PA11358OtherELDERHEALTH
PA10093634001OtherAMERICHOICE M/C & M/A
PA1616703OtherHIGHMARK BLUE SHIELD
PA1009363640001Medicaid
P00621740Medicare PIN