Organization
FALCON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA CHAITANYA KILARU MD (PRESIDENT)
(319) 671-1542
Entity
Organization
Contact information
Practice address
101 WASHINGTON BLVD UNIT 1208, STAMFORD, CT 06902-7060
(319) 671-1542
Mailing address
101 WASHINGTON BLVD UNIT 1208, STAMFORD, CT 06902-7060
(319) 671-1542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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