Kolusu, Hanumantha Rao

Kolusu, Hanumantha Rao is an sole proprietor health care provider with primary practice located at 609 35Th Ave Ste 1A , Moline IL 61265-6146. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kolusu, Hanumantha Rao can be contacted via phone (563) 243-2022.

Contact Information

Primary practice address
609 35Th Ave Ste 1A Moline IL 61265-6146
Phone: (563) 243-2022
Fax: (563) 243-4070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31016 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31016 Iowa

Profile Details

NPI number 1831159409
LBN Legal business name Kolusu, Hanumantha Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Aug 20th, 2019 - about 5 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 1831159409 NPPES
Iowa MEDICAID 1134767

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