MEDICARE: GEETHA PILLAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101221419	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110220774	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356335301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEETHA PILLAI MD

Provider Business Mailing Address
First Line	:	224D CORNWALL STREET, NW SUITE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-2704
Country	:	US
Telephone Number	:	703-737-6001
Fax Number	:	703-443-8643

Provider Business Practice Location Address
First Line	:	19450 DEERFIELD AVENUE, SUITE 300
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-6821
Country	:	US
Telephone Number	:	703-858-3220
Fax Number	:	703-858-3221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	11/29/2022

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Directions to “ GEETHA PILLAI MD” Practice Location

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