Basic Information
Provider Information
NPI: 1124307277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PILLAY
FirstName: ARPANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 1650 GRAND CONCOURSE
Address2:  
City: BRONX
State: NY
PostalCode: 104577606
CountryCode: US
TelephoneNumber: 7189602099
FaxNumber:  
Practice Location
Address1: 833 E OAK ST
Address2:  
City: KISSIMMEE
State: FL
PostalCode: 347445838
CountryCode: US
TelephoneNumber: 4466548278
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/08/2011
LastUpdateDate: 11/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XME141318FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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