Prasad K. Kilaru
Interventional Cardiology Internist - Cardiovascular Disease
2350 N Rockton Ave
Rockford
, Illinois 61103-3600
Prasad K. Kilaru
Interventional Cardiology Internist - Cardiovascular Disease
2350 N Rockton Ave
Rockford
, Illinois 61103-3600
(815) 971-2000
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Prasad K. Kilaru
- 2350 N Rockton Ave
- Rockford, IL
- Zip : 61103-3600
- Phone : (815) 971-2000
Second Address
- Prasad K. Kilaru
- 2350 N Rockton Ave
- Rockford, IL
- Zip : 61103-3600
- Phone : (815) 971-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 036-081608 | IL |
| Y | 207RI0011X | Interventional Cardiology | 036081608 | IL |
National Provider Identifier
| NPI | 1003910423 |
|---|---|
| Provider Name | Prasad K. Kilaru |
| First Address | Rockford, IL 61103-3600 |
| Second Address | Rockford, IL 61103-3600 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2006 |
| Last Update Date | 23/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036081608 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.