Provider Demographics
NPI:1578519658
Name:PILLAI, ANILKUMAR V (MD)
Entity Type:Individual
Prefix:
First Name:ANILKUMAR
Middle Name:V
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 1:707 N. HOUSTON ROAD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093
Mailing Address - Country:US
Mailing Address - Phone:478-922-4010
Mailing Address - Fax:478-922-2821
Practice Address - Street 1:707 N. HOUSTON ROAD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093
Practice Address - Country:US
Practice Address - Phone:478-922-4010
Practice Address - Fax:478-922-2821
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00817649BMedicaid
11BDSCLMedicare UPIN
GA11BDSCLMedicare PIN
G72863Medicare UPIN