Provider Demographics
NPI:1588977375
Name:PILLAI, SANGITA STEARNS
Entity type:Individual
Prefix:
First Name:SANGITA
Middle Name:STEARNS
Last Name:PILLAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B38 SCOTTY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1223
Mailing Address - Country:US
Mailing Address - Phone:978-251-4750
Mailing Address - Fax:
Practice Address - Street 1:275 VARNUM AVE
Practice Address - Street 2:STE 204
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2109
Practice Address - Country:US
Practice Address - Phone:978-251-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109474207Q00000X
MA249387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine