Provider Demographics
NPI:1396326716
Name:PILLAI, SREEJITH JAGADEESAN (MD)
Entity type:Individual
Prefix:
First Name:SREEJITH
Middle Name:JAGADEESAN
Last Name:PILLAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SREEJITH
Other - Middle Name:
Other - Last Name:JAGADEESANPILLAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 HOSPITAL DRIVE DC047.0
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-2256
Mailing Address - Country:US
Mailing Address - Phone:573-882-1515
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DRIVE DC047.0
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-6640
Practice Address - Country:US
Practice Address - Phone:573-882-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024026012207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine