Provider Demographics
NPI:1487963120
Name:VIKAS K PILLY MD PC
Entity type:Organization
Organization Name:VIKAS K PILLY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-505-1500
Mailing Address - Street 1:6245 SHERIDAN DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4834
Mailing Address - Country:US
Mailing Address - Phone:716-505-1500
Mailing Address - Fax:888-351-4329
Practice Address - Street 1:6245 SHERIDAN DR
Practice Address - Street 2:SUITE 116
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-4834
Practice Address - Country:US
Practice Address - Phone:716-505-1500
Practice Address - Fax:888-351-4329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2447312081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty