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Individual

JEET N PILLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N POND DR, STE C, WALLED LAKE, MI 48390-3079
(248) 624-2222
(248) 926-9455
Mailing address
100 N POND DR, STE C, WALLED LAKE, MI 48390-3079
(248) 624-2222
(248) 926-9455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4310083902
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0630286
BCE EMERGIS
MI
01
1106302861
BCBSM
MI
01
139063
CARE CHOICES
MI
01
2225559
FIRST HEALTH
MI
01
3120987
CIGNA
MI
05
4618534
MI
01
7590588
AETNA
01
I09597
HAP
MI
01
X20835
HAP HMO PPO
MI
Enumeration date
06/16/2005
Last updated
04/24/2014
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