Kada, Venkata Gangadhar Tilak

Kada, Venkata Gangadhar Tilak is an individual health care provider with primary practice located at 6500 Hospital Dr , Hannibal MO 63401-6890. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kada, Venkata Gangadhar Tilak can be contacted via phone (573) 629-3400.

Contact Information

Primary practice address
6500 Hospital Dr Hannibal MO 63401-6890
Phone: (573) 629-3400
Fax: (573) 629-3414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125053634 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 0101256401 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101256401 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2013023689 Missouri

Profile Details

NPI number 1801087861
LBN Legal business name Kada, Venkata Gangadhar Tilak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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