Individual
PRASHANTI PILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49219
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32832400
GROUP MEDICAID
WI
05
—
35289800
—
WI
Enumeration date
11/21/2007
Last updated
09/27/2022
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