Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 035490 | CT |
NPI | 1023321148 |
---|---|
Provider Name | Dr. Omprakash Bhaskara Pillai |
First Address | Windsor, CT 06095-1739 |
Second Address | Farmington, CT 06030-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2010 |
Last Update Date | 18/07/2010 |