Organization
ALLERGY AND ASTHMA ASSOCIATES OF TRI-STATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYTHILI GURRAM M.D.,F.A.C.A.A.I (OWNER)
(812) 491-1307
Entity
Organization
Contact information
Practice address
827 S GREEN RIVER RD, EVANSVILLE, IN 47715-4105
(812) 491-1307
(812) 473-7226
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
05/08/2009
Last updated
07/14/2021
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