Healthcare Provider Details

I. General information

NPI: 1336107994
Provider Name (Legal Business Name): ARUN PILLAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 W THUNDERBIRD RD
GLENDALE AZ
85306-4636
US

IV. Provider business mailing address

20430 N 19TH AVE STE B-150
PHOENIX AZ
85027-3588
US

V. Phone/Fax

Practice location:
  • Phone: 602-795-7256
  • Fax: 602-795-7257
Mailing address:
  • Phone: 480-822-0225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2009-0653
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036169261
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD2009-0653
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: