Provider Demographics
NPI:1831452358
Name:BILAL, KIRAN (MD)
Entity type:Individual
Prefix:MRS
First Name:KIRAN
Middle Name:
Last Name:BILAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 EDGEWATER CT
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-5606
Mailing Address - Country:US
Mailing Address - Phone:617-306-4395
Mailing Address - Fax:
Practice Address - Street 1:1360 STAR CT STE T1
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7353
Practice Address - Country:US
Practice Address - Phone:972-325-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099896208000000X
TXQ2740208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics