| Prasad Pilli, M.d., P.a. | |
|
2121 Pease St Ste 201 Harlingen TX 78550-8348 | |
| (956) 389-1940 | |
| (956) 389-1341 |
| Full Name | Prasad Pilli, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2121 Pease St, Harlingen, Texas |
| Authorized Official Name and Position | Prasad Pilli (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9563891940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad Pilli, M.d., P.a. Po Box 3230 Harlingen TX 78551-3230 Ph: (956) 389-1940 | Prasad Pilli, M.d., P.a. 2121 Pease St Ste 201 Harlingen TX 78550-8348 Ph: (956) 389-1940 |
| NPI Number | 1619386919 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 0749400661 |
|---|---|
| Medicare Enrollment ID | O20140927000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619386919 | NPI | - | NPPES |
| 1740554088 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P3566 (Texas) | Primary |
| Provider Name | Prasad Pilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740554088 PECOS PAC ID: 6204084403 Enrollment ID: I20120913000033 |
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