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General NPI Number Information
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NPI Number | 1639687031
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Entity Type | Individual
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Provider Name | PRASHANTH R PILLAI MD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 7707 AUSTIN RD
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City | STOCKTON
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State | CA
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Zip | 95215-8312
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Country | US
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Telephone | 209-936-9818
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 RESTON METRO PLZ STE 600
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City | RESTON
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State | VA
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Zip | 20190-5952
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Country | US
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Telephone | 866-246-7313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101273604
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A193217
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-24069
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101273604
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD-24069
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A193217
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License Number State | CA
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