Individual
MANOJ KUMAR PILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7645
(920) 735-7618
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4101
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066798
IL
207RN0300X
Nephrology Physician
8136
NE
208M00000X
Hospitalist Physician
Primary
72433
WI
Other
Enumeration date
07/28/2015
Last updated
06/25/2020
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