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NPI Code Detail

MEDICARE: PRASAD PILLAI MD

MEDICARE: PRASAD PILLAI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianA116899CA

General Provider Information

NPI Number : 1023174380
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRASAD PILLAI MD
Provider Business Mailing Address
First Line : 2345 COUNTRY HILLS DRIVE
Second Line :
City : ANTIOCH
State : CA
Zip : 94509-7319
Country : US
Telephone Number : 925-418-0278
Fax Number :
Provider Business Practice Location Address
First Line : 4721 DALLAS RANCH RD
Second Line :
City : ANTIOCH
State : CA
Zip : 94531-8811
Country : US
Telephone Number : 925-778-0679
Fax Number : 925-778-3567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2015

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