Dr Hanumantha R. Kolusu MD, PC
Dr Hanumantha R. Kolusu MD, PC is a Primary Care Clinic/Center in Moline, Illinois. Licensed in Iowa. Registered with an NPI since 2008.
- Licensed in
- IA
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
609 35th Ave Ste 1AMoline, IL 61265-6146
Phone: (563) 243-2022
Fax: (563) 243-4070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 31016 (IA) |
|---|
Record details
| NPI number | 1477717197 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hanumantha Kolusu — President · (563) 243-2022 |
| NPI enumerated | July 11, 2008 |
| Last updated in NPPES | August 15, 2019 |
| Mailing address | 609 35th Ave Ste 1a, Moline, IL 61265-6146 |
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