Organization
DR. HANUMANTHA R. KOLUSU MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANUMANTHA R. KOLUSU MD (PRESIDENT)
(563) 243-2022
Entity
Organization
Contact information
Practice address
609 35TH AVE STE 1A, MOLINE, IL 61265-6146
(563) 243-2022
(563) 243-4070
Mailing address
609 35TH AVE STE 1A, MOLINE, IL 61265-6146
(563) 243-2022
(563) 243-4070
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
31016
IA
Other
Enumeration date
07/11/2008
Last updated
08/15/2019
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