Organization
RAMMOHAN MARLA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMMOHAN MARLA MD (PRESIDENT)
(563) 613-4277
Entity
Organization
Contact information
Practice address
2570 24TH ST, STE 127, ROCK ISLAND, IL 61201-5394
(309) 779-4350
(309) 779-4355
Mailing address
2570 24TH ST, STE 127, ROCK ISLAND, IL 61201-5394
(309) 779-4350
(309) 779-4355
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036134953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036134953
LICENSE
IL
Enumeration date
03/18/2015
Last updated
03/18/2015
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