Raghavendra R Kilaru, M.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4301041387 Issued in MI

Practice address

303 W Water St
Flint, MI 48503-5627

Phone

(810) 232-2766

Fax

(810) 232-2782

NPI assigned

Jun 9, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1447291430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6085 COVERED WAGONS TRL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322100",
            "telephone_number": "810-230-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W WATER ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035627",
            "telephone_number": "810-232-2766",
            "fax_number": "810-232-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILARU",
        "first_name": "RAGHAVENDRA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4301041387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Disease & Hypertension, P.C.
• Melissa Louise Kiel
• Kiet a Doan DO PC
• Dawn Kiewitt, LPC NCC
• Kuiawa Kikes
• Venkata S Kilaru, MD
• Keylah Estela Kilbourne, SRNA
• Aleesha Kilbreath, PA-C
• Shelby Kilbreath, OT
• Brittany Marie Kilgore, LLMSW

• Mental Health Counselor in Flint, MI
• Providers in Flint, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.