Individual
DR. SASIDHAR P KILARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5885 HARRISON AVE, CINCINNATI, OH 45248-1691
(513) 541-0700
(513) 541-2530
Mailing address
5885 HARRISON AVE, CINCINNATI, OH 45248-1691
(513) 541-0700
(513) 541-2530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37924
KY
208600000X
Surgery Physician
35082964
OH
2086S0129X
Vascular Surgery Physician
Primary
35082964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200481940A
—
IN
05
—
2418842
—
OH
05
—
64082308
—
KY
05
—
7100056850
—
KY
01
—
P00058512
RAILROAD MEDICARE
OH
01
—
P00173109
RR MEDICARE
OH
01
—
P00629656
RAILROAD MEDICARE
KY
Enumeration date
02/17/2006
Last updated
10/24/2020
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