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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831159409 | NPPES |
| Iowa | MEDICAID | 1134767 |
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