Kilaru, Prasad K.

Kilaru, Prasad K. is an individual health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kilaru, Prasad K. can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
2350 N Rockton Ave Rockford IL 61103-3600
Phone: (815) 971-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-081608 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036081608 Illinois

Profile Details

NPI number 1003910423
LBN Legal business name Kilaru, Prasad K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 23rd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003910423 NPPES
Illinois MEDICAID 036081608

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