Individual
PRASAD G KILARU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
39141 CIVIC CENTER DR, SUITE 110, FREMONT, CA 94538-1730
(510) 791-9700
(510) 791-9703
Mailing address
39141 CIVIC CENTER DR, SUITE 110, FREMONT, CA 94538-1730
(510) 791-9700
(510) 791-9703
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A060104
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A060104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A601040
—
CA
Enumeration date
07/29/2005
Last updated
11/16/2015
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