# AMRUTH R PALLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922205681
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | 72774 | WI | Yes |
| 207RH0003X | Hematology & Oncology Physician | 2015030942 | MO | — |
| 207RX0202X | Medical Oncology Physician | 72774 | WI | — |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 11/06/2023