Healthcare Provider Details

I. General information

NPI: 1144257577
Provider Name (Legal Business Name): HEMA RADHAKRISHNA PILLAI M.D.F.A.A.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5458 TOWN CENTER ROAD SUITE #101
BOCA RATON FL
33486
US

IV. Provider business mailing address

1025 MILITARY TRAIL SUITE # 300
JUPITER FL
33458
US

V. Phone/Fax

Practice location:
  • Phone: 561-393-8555
  • Fax: 561-393-1904
Mailing address:
  • Phone: 561-741-0000
  • Fax: 561-745-4212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA049942
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: