Provider Demographics
NPI:1952478984
Name:D.V. PILLAI, MD, INC.
Entity Type:Organization
Organization Name:D.V. PILLAI, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D.V.
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-942-6496
Mailing Address - Street 1:44725 10TH ST W
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3033
Mailing Address - Country:US
Mailing Address - Phone:661-942-6496
Mailing Address - Fax:661-949-0574
Practice Address - Street 1:44725 10TH ST W
Practice Address - Street 2:SUITE 210
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3033
Practice Address - Country:US
Practice Address - Phone:661-942-6496
Practice Address - Fax:661-949-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA305342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW4610Medicare PIN