MEDICARE: RAJI PILLAI FNP

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
1	363LF0000X	Family Nurse Practitioner	AP126176	TX

General Provider Information

NPI Number	:	1073901120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJI PILLAI FNP

Provider Business Mailing Address
First Line	:	6922 SPINDLE PINE WAY
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2763
Country	:	US
Telephone Number	:	281-313-2756
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2319
Country	:	US
Telephone Number	:	281-558-1338
Fax Number	:	281-558-1318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2014
Last Update Date	:	12/23/2014

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