Provider Demographics
NPI:1134161482
Name:PILLAI, DEWEY D (MD)
Entity type:Individual
Prefix:DR
First Name:DEWEY
Middle Name:D
Last Name:PILLAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:24305 TOWN CENTER DR # 105
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1307
Mailing Address - Country:US
Mailing Address - Phone:661-288-2237
Mailing Address - Fax:661-288-2290
Practice Address - Street 1:24305 TOWN CENTER DR # 105
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-1307
Practice Address - Country:US
Practice Address - Phone:661-288-2237
Practice Address - Fax:661-288-2290
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA87833207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI27042Medicare UPIN