Provider Demographics
NPI:1609337252
Name:KOILPILLAI, ESTHER VINOLIA
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:VINOLIA
Last Name:KOILPILLAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 DUVALL RD
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1805
Mailing Address - Country:US
Mailing Address - Phone:240-444-0818
Mailing Address - Fax:
Practice Address - Street 1:15225 SHADY GROVE RD STE 304
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3256
Practice Address - Country:US
Practice Address - Phone:301-423-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR159636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily