Healthcare Provider Details

I. General information

NPI: 1134042310
Provider Name (Legal Business Name): AYYAPPAN GOPALAKRISHNA PILLAI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY HOSPITALS LAKE WEST MEDICAL CENTRE 36000 EUCLID AVE
WILLOUGHBY OH
44094
US

IV. Provider business mailing address

APARTMENT NO: 906 BUILDING NUMBER 11 (AL DURRAH TOWERS) MARINA SQUARE, AL REEM ISLAND
ABU DHABI ABU DHABI
20008
AE

V. Phone/Fax

Practice location:
  • Phone: 440-953-9600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number75.000099
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: