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Individual

MR. VENKATA S KILARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 S BALLENGER HWY, FLINT, MI 48532
(810) 720-1730
(810) 720-1736
Mailing address
1051 PROFESSIONAL DRIVE, FLINT, MI 48532
(810) 720-1730
(810) 720-1736

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301059094
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050B560430
BLUE CROSS BLUE SHIELD
01
0996930
HEALTH PLUS OF MICHIGAN
01
0B56043018
PERSONAL IDENTIFICATION
01
104146
GREAT LAKES HEALTH PLAN
01
1172870001
THE WELLNESS PLAN
01
223550
MCLAREN HEALTH ADVANTAGE
05
2846890
MI
01
30946
COMMUNITY CHOICE OF M1M
01
4647093
AETNA HEALTH CARE
01
567566
SELECT CARE
01
AN250004
MCARE INC
01
EM033063
HEALTH ALLIANCE PLAN
01
M001301
TRICARE REGION 2 & 5
01
VK059094
STATE LICENSE NUMBER
Enumeration date
01/16/2007
Last updated
06/26/2012
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