Individual
DR. LAKSHMIKUMAR PILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
14306
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011824180001
—
PA
05
—
0124763000
—
WV
05
—
0750905
—
OH
05
—
544551500
—
MD
01
—
770002427
RAILROAD MEDICARE
WV
Enumeration date
09/20/2006
Last updated
04/08/2022
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