Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krishna Kishore Kilaru, MD

Individual provider Psychosomatic Medicine Physician · NPI 1174966253

Krishna Kishore Kilaru, MD is a Psychiatry in Philadelphia, Pennsylvania. Qualified in 2010, 16 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3910 N Powelton Ave
Philadelphia, PA 19104-2640
Phone: (215) 662-8747
Fax: (215) 243-3258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychosomatic Medicine Physician (primary) Taxonomy 2084P0015X · Licence MD471880 (PA)

Record details

NPI number1174966253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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