Individual
KIRAN BURLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 MEMORIAL AVE STE C, WASHINGTON, IN 47501-3154
(812) 254-2872
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070695A
IN
208000000X
Pediatrics Physician
01070695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201061510
—
IN
Enumeration date
07/10/2007
Last updated
12/31/2020
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