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Individual

RAJESH THIRAVIAM PILLAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1635 W GLENDALE AVE, PHOENIX, AZ 85021-8813
(602) 544-2273
(602) 544-3017
Mailing address
1635 W GLENDALE AVE, PHOENIX, AZ 85021-8813
(602) 544-2273
(602) 544-3017

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31773
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
797037
AZ
Enumeration date
07/12/2006
Last updated
08/10/2011
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