Provider Demographics
NPI:1255958443
Name:SURENDRAN PILLAI, SREELAKSHMI (MD)
Entity type:Individual
Prefix:DR
First Name:SREELAKSHMI
Middle Name:
Last Name:SURENDRAN PILLAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 MERCY ROAD, SUITE 202-CU
Mailing Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2353
Mailing Address - Country:US
Mailing Address - Phone:402-280-4318
Mailing Address - Fax:
Practice Address - Street 1:7710 MERCY ROAD, SUITE 202-CU
Practice Address - Street 2:DEPARTMENT OF FAMILY MEDIICINE
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2353
Practice Address - Country:US
Practice Address - Phone:402-280-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8915207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine