Individual
DEEPIKA KILARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1363 E DOVE RD, SOUTHLAKE, TX 76092-3904
(214) 455-0579
Mailing address
4100 HERITAGE AVE, STE 106, GRAPEVINE, TX 76051-5716
(214) 455-0579
(817) 283-1116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD434720
PA
207R00000X
Internal Medicine Physician
Primary
N1365
TX
Other
Enumeration date
10/14/2008
Last updated
02/16/2023
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