DR. Hanumantha Rao Kolusu, M.D.

NPI #1831159409 in Moline, Illinois

Provider Information

NPI Number: 1831159409
Entity Type: Individual
Name: DR. Hanumantha Rao Kolusu, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Mar 27, 2006
Last Updated: Aug 20, 2019

Practice Location

Address: 609 35TH AVE STE 1A
City: Moline
State: Illinois
ZIP Code: 61265-6146
Phone: (563) 243-2022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Internal Medicine	207R00000X	Primary

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