Basic Information
Provider Information
NPI: 1861751265
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PILLAY
FirstName: KAMANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1ST AVENUE @ 16TH STREET
Address2:  
City: NEW YORK
State: NY
PostalCode: 10003
CountryCode: US
TelephoneNumber: 6466058188
FaxNumber: 2125237410
Practice Location
Address1: 833 CHESTNUT ST
Address2: SUITE 220
City: PHILADELPHIA
State: PA
PostalCode: 191074414
CountryCode: US
TelephoneNumber: 2159558465
FaxNumber: 2155032611
Other Information
ProviderEnumerationDate: 05/07/2012
LastUpdateDate: 04/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X282295NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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