Provider Demographics
NPI:1336755248
Name:FALCON MEDICAL LLC
Entity Type:Organization
Organization Name:FALCON MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:CHAITANYA
Authorized Official - Last Name:KILARU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-671-1542
Mailing Address - Street 1:9160 ESTATE THOMAS
Mailing Address - Street 2:PMB 299
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-3641
Mailing Address - Country:US
Mailing Address - Phone:319-671-1542
Mailing Address - Fax:
Practice Address - Street 1:8-29 PETERBORG COTTAGE
Practice Address - Street 2:
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:319-671-1542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion