Organization
DEEPIKA KILARU MD PA
Active
Organization
DEEPIKA KILARU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPKIA KILARU MD (OWNER)
(214) 455-0579
Entity
Organization
Contact information
Practice address
4100 HERITAGE AVE STE 106, GRAPEVINE, TX 76051-5716
(214) 455-0579
Mailing address
2600 E SOUTHLAKE BLVD STE 120332, SOUTHLAKE, TX 76092-6634
(214) 455-0579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1365
TX
Other
Enumeration date
12/02/2013
Last updated
02/17/2023
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