| Pillay Internal Medicine Associates, Pllc | |
|
100 N Pond Dr Suite C Walled Lake MI 48390-3079 | |
| (248) 624-2222 | |
| (248) 926-9455 |
| Full Name | Pillay Internal Medicine Associates, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Pond Dr, Walled Lake, Michigan |
| Authorized Official Name and Position | Jeet Pillay (OWNER) |
| Authorized Official Contact | 2486242222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillay Internal Medicine Associates, Pllc 100 N Pond Dr Suite C Walled Lake MI 48390-3079 Ph: (248) 624-2222 | Pillay Internal Medicine Associates, Pllc 100 N Pond Dr Suite C Walled Lake MI 48390-3079 Ph: (248) 624-2222 |
| NPI Number | 1003800269 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 1254301880 |
|---|---|
| Medicare Enrollment ID | O20040729001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003800269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jeet Natraj Pillay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891790663 PECOS PAC ID: 4688644214 Enrollment ID: I20040730000292 |
| Provider Name | Diana Jolynn Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689825564 PECOS PAC ID: 4385876887 Enrollment ID: I20140416000936 |
| Provider Name | Batoul S Dagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912248725 PECOS PAC ID: 2567789027 Enrollment ID: I20170509001123 |
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