Provider Demographics
NPI:1952540114
Name:PILLAI, VIJAYAN V
Entity Type:Individual
Prefix:DR
First Name:VIJAYAN
Middle Name:V
Last Name:PILLAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 KINGSPOINTE PKWY
Mailing Address - Street 2:STE 1
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-6520
Mailing Address - Country:US
Mailing Address - Phone:407-240-2361
Mailing Address - Fax:407-345-8895
Practice Address - Street 1:7901 KINGSPOINTE PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-6520
Practice Address - Country:US
Practice Address - Phone:407-240-2361
Practice Address - Fax:407-345-8895
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine