Healthcare Provider Details

I. General information

NPI: 1174695647
Provider Name (Legal Business Name): ANITA V PILLAI-ALLEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 GEORGIA AVE SUITE 205
SILVER SPRING MD
20902
US

IV. Provider business mailing address

8110 MAPLE LAWN BLVD STE 205
FULTON MD
20759-2693
US

V. Phone/Fax

Practice location:
  • Phone: 301-592-1600
  • Fax: 301-592-1602
Mailing address:
  • Phone: 301-340-8339
  • Fax: 301-340-9027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberD0068350
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: