Alla, Venkateswararao

Alla, Venkateswararao is an individual health care provider with primary practice located at 400 John Deere Rd Bldg 1 , Moline IL 61265-6898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Alla, Venkateswararao can be contacted via phone (309) 517-3036.

Contact Information

Primary practice address
400 John Deere Rd Bldg 1 Moline IL 61265-6898
Phone: (309) 517-3036
Fax: (309) 797-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036056049 Illinois

Profile Details

NPI number 1669476339
LBN Legal business name Alla, Venkateswararao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jun 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669476339 NPPES
Iowa Other 0175471 IA PUBLIC AID GP IA POS
Iowa Other 05232009 IA PUBLIC AID GP IA POS
Iowa Other 0904573 IA PUBLIC AID GP IA POS
Iowa Other 1669476339 IA PUBLIC AID GP IA POS
Iowa Other 99236 IA PUBLIC AID GP IA POS
Iowa Other 0510917 IA PUBLIC AID GP IA POS
Iowa Other 56266 IA PUBLIC AID GP IA POS
Iowa MEDICAID 036056049 IA PUBLIC AID GP IA POS
Iowa Other 08100343 IA PUBLIC AID GP IA POS
Iowa Other 1740349034 IA PUBLIC AID GP IA POS
Iowa Other 1904573 IA PUBLIC AID GP IA POS
Iowa Other 55646 IA PUBLIC AID GP IA POS
Iowa Other 93122 IA PUBLIC AID GP IA POS

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