Dr. Hanumantha R. Kolusu Md, Pc in Moline - Primary Care
Dr. Hanumantha R. Kolusu Md, Pc - NPI 1477717197
Dr. Hanumantha R. Kolusu Md, Pc is a Primary Care in Moline, Illinois. Dr. Hanumantha R. Kolusu Md, Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Dr. Hanumantha R. Kolusu Md, Pc is 1477717197. The last update date is 2019-08-15.
Dr. Hanumantha R. Kolusu Md, Pc's current location address is 609 35th Ave Ste 1a, Moline, Illinois. You can contact this provider via phone number 5632432022 and fax number 5632434070. The mailing address for Dr. Hanumantha R. Kolusu Md, Pc is 609 35th Ave Ste 1a, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Hanumantha R. Kolusu Md, Pc |
|---|---|
| Address | 609 35th Ave Ste 1a, Moline, Illinois |
| Phone Number | 5632432022 |
| Fax Number | 5632434070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kolusu R. Hanumantha |
| Credentials | MD |
| Telephone Number | 5632432022 |
NPI Number Detail
| NPI Number | 1477717197 |
|---|---|
| Provider Enumeration Date | 2008-07-11 |
| Last Updated Date | 2019-08-15 |
Provider Mailing Address Detail
| Address | 609 35th Ave Ste 1a |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656146 |
| Phone Number | 5632432022 |
| Fax Number | 5632434070 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 31016 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dr. Hanumantha R. Kolusu Md, Pc by the Centers for Medicare & Medicaid Services?
The Dr. Hanumantha R. Kolusu Md, Pc has been assigned the NPI (National Provider Identifier) 1477717197 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Dr. Hanumantha R. Kolusu Md, Pc's physical address?
The Dr. Hanumantha R. Kolusu Md, Pc is physically located at 609 35Th Ave Ste 1A, in the city of Moline, IL, with the postal code 612656146.
What is the area of specialization for Dr. Hanumantha R. Kolusu Md, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dr. Hanumantha R. Kolusu Md, Pc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Dr. Hanumantha R. Kolusu Md, Pc receive its 1477717197 assignment from the Centers for Medicare & Medicaid Services?
The Dr. Hanumantha R. Kolusu Md, Pc was assigned its 1477717197 by the Centers for Medicare & Medicaid Services on 2008-07-11.
As of what date was the information pertaining to Dr. Hanumantha R. Kolusu Md, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dr. Hanumantha R. Kolusu Md, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY