Provider Demographics
NPI:1669638862
Name:PILLAI, LETHA G (MD)
Entity Type:Individual
Prefix:DR
First Name:LETHA
Middle Name:G
Last Name:PILLAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3945
Mailing Address - Street 2:DEPT 841
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3945
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:4000 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1202
Practice Address - Country:US
Practice Address - Phone:713-359-2000
Practice Address - Fax:713-359-1004
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM9580207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198645701Medicaid
TX198645704Medicaid
TX198645702Medicaid
TX8DE708OtherBCBS OF TX
TXP00690977OtherRAILROAD MEDICARE
LA1801780OtherLOUISIANA MEDICAID
TX198645703Medicaid
TX8BK834OtherBLUE CROSS BLUE SHIELD
TXP01087395OtherRAILROAD MEDICARE
TXTXB157418Medicare PIN
TXP00690977OtherRAILROAD MEDICARE
TXTXB161313Medicare PIN