Provider Demographics
NPI:1841302403
Name:PILLY, VIKAS KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:VIKAS
Middle Name:KUMAR
Last Name:PILLY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 WEHRLE DR STE 400-500
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7348
Mailing Address - Country:US
Mailing Address - Phone:716-320-3050
Mailing Address - Fax:716-320-3070
Practice Address - Street 1:2733 WEHRLE DR STE 400-500
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7348
Practice Address - Country:US
Practice Address - Phone:716-320-3050
Practice Address - Fax:716-320-3070
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2447312081P2900X
OH35.122158208VP0014X
KY46971208VP0000X
IN01074086A2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0108687Medicaid
NY02887507Medicaid
KYK113280Medicare PIN
OH0108687Medicaid
OHH441860Medicare PIN