Kilaru, Prasad G

Kilaru, Prasad G is an individual health care provider with primary practice located at 39141 Civic Center Dr Suite 110, Fremont CA 94538-1730. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Kilaru, Prasad G can be contacted via phone (510) 791-9700.

Contact Information

Primary practice address
39141 Civic Center Dr Suite 110 Fremont CA 94538-1730
Phone: (510) 791-9700
Fax: (510) 791-9703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X A060104 California
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A060104 California

Profile Details

NPI number 1689674665
LBN Legal business name Kilaru, Prasad G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 16th, 2015 - about 11 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 1689674665 NPPES
California MEDICAID 00A601040

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