Provider Demographics
NPI:1053456723
Name:KAILA, RAHUL (MD)
Entity Type:Individual
Prefix:
First Name:RAHUL
Middle Name:
Last Name:KAILA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4201 ST. ANTOINE UNIVERSITY PEDIATRICIANS
Mailing Address - Street 2:UNIVERSITY HEALTH CENTER 6F MAILBOX# 226
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-966-5051
Mailing Address - Fax:313-966-6618
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:CHILDREN'S HOSPITAL OF MI
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-745-5260
Practice Address - Fax:313-993-7166
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2009-06-16
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Provider Licenses
StateLicense IDTaxonomies
MI4301092413207PP0204X
WI49565208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics