Organization
EAST BAY HAND & PLASTIC SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD GANGADHAR KILARU M.D. (PRESIDENT)
(510) 648-2626
Entity
Organization
Contact information
Practice address
39141 CIVIC CENTER DR, SUITE 110, FREMONT, CA 94538-5818
(510) 648-2626
(866) 383-0295
Mailing address
2626 GRAPEVINE TER, FREMONT, CA 94539-6079
(510) 648-2626
(866) 383-0295
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A60104
CA
Other
Enumeration date
05/31/2009
Last updated
05/31/2009
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