Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A116899 | CA |
NPI | 1023174380 |
---|---|
Provider Name | Prasad Pillai |
First Address | Antioch, CA 94509-7319 |
Second Address | Antioch, CA 94531-8811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 08/07/2015 |