Provider Demographics
NPI:1316128077
Name:PILLAI, GN (MD)
Entity type:Individual
Prefix:DR
First Name:GN
Middle Name:
Last Name:PILLAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 50206
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-0206
Mailing Address - Country:US
Mailing Address - Phone:806-358-8011
Mailing Address - Fax:806-358-2232
Practice Address - Street 1:6611 W AMARILLO BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1755
Practice Address - Country:US
Practice Address - Phone:806-358-8011
Practice Address - Fax:806-358-2232
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG1150207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A5216Medicare PIN
TXE10213Medicare UPIN