Individual
MIDESHA PILLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1709 S 16TH ST STE A, WILMINGTON, NC 28401-6491
(910) 452-8633
(910) 452-8569
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501494
NC
207Q00000X
Family Medicine Physician
A95690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457M
BCBSNC
NC
05
—
5907665
—
NC
01
—
P00431972
RAILROAD MEDICARE
NC
Enumeration date
12/08/2006
Last updated
03/28/2025
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