Provider Demographics
NPI:1629068275
Name:PILLAI, ARAVIND N (MD)
Entity Type:Individual
Prefix:DR
First Name:ARAVIND
Middle Name:N
Last Name:PILLAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:819 E 1ST ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1467
Mailing Address - Country:US
Mailing Address - Phone:407-328-8008
Mailing Address - Fax:407-328-8030
Practice Address - Street 1:819 E 1ST ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1467
Practice Address - Country:US
Practice Address - Phone:407-328-8008
Practice Address - Fax:407-328-8030
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0061642207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370727000Medicaid
FL370727000Medicaid
F35160Medicare UPIN