Doctor Name: | PRASAD PILLAI |
NPI Number: | 1023174380 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A116899 |
Business Practice Address: | 4721 Dallas Ranch Rd Antioch, CA - 945318811 |
Business Phone Number: | 9257780679 |
Business Fax Number: | 9257783567 |
Mailing Address: | 2345 Country Hills Drive, ANTIOCH |
State: | CA |
Postal Code: | 945097319 |
Phone Number: | 9254180278 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | A116899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |