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Individual
VENKATESWARARAO ALLA
Active
Individual
VENKATESWARARAO ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036056049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175471
IA PUBLIC AID GP IA POS
IA
05
—
036056049
—
IL
01
—
0510917
IA PUBLIC AID GROUP IL PO
IL
01
—
05232009
BLUE CROSS BLUE SHIELD
IL
01
—
08100343
BLUE CROSS BLUE SHIELD
IL
01
—
0904573
PUBLIC AID
IA
01
—
1669476339
NPI
—
01
—
1740349034
GROUP NPI
—
01
—
1904573
PUBLIC AID IA
IL
01
—
55646
WELLMARK
IA
01
—
56266
WELLMARK
IA
01
—
93122
WELLMARK
IL
01
—
99236
WELLMARK
IL
Enumeration date
06/09/2005
Last updated
06/21/2016
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