Basic Information
Provider Information
NPI: 1033378013
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KILARU
FirstName: SILPA
MiddleName: DEEPA
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6315 5TH AVE
Address2: APT #205
City: PITTSBURGH
State: PA
PostalCode: 152064445
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3600 MEYRAN AT FORBES
Address2: FORBES TOWER SUITE 8044
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 4125869874
FaxNumber: 4125869876
Other Information
ProviderEnumerationDate: 06/05/2008
LastUpdateDate: 06/15/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD444663PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMD444663PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home