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Individual

BALAKRISHNA PILLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25200 CENTER RIDGE RD, SUITE 3300, WESTLAKE, OH 44145-4141
(440) 895-5076
(440) 895-9250
Mailing address
20525 CENTER RIDGE RD, STE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35039812P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000201208
ANTHEM
01
0119204
GROUP MEDICAID
05
0398332
OH
01
102833
KAISER
01
10813526
CAQH
01
123833
KAISER
01
1780634279
GROUP NPI
01
3610861
GROUP ASC MEDICARE
01
4007770
AETNA
01
9273172
GROUP MEDICARE
01
CA4511
RR MEDICARE GROUP
01
D368301
MEDICARE IND DIAGNOSTICS
Enumeration date
03/07/2006
Last updated
01/10/2008
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