Individual
RAGHAVENDRA R KILARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 W WATER ST, FLINT, MI 48503-5627
(810) 232-2766
(810) 232-2782
Mailing address
6085 COVERED WAGONS TRL, FLINT, MI 48532-2100
(810) 230-0055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4301041387
MI
Other
Enumeration date
06/09/2006
Last updated
10/15/2007
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