Individual
SHYAM S R ALLAMANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 E GALBRAITH RD, STE. 206, CINCINNATI, OH 45236-6706
(513) 686-1476
(513) 686-5620
Mailing address
4750 E GALBRAITH RD, STE. 206, CINCINNATI, OH 45236-6706
(513) 686-1476
(513) 686-5620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.097908
OH
2086X0206X
Surgical Oncology Physician
Primary
35.097908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000531487001
BCBS OF WESTERN NY
—
05
—
0053308
—
OH
05
—
03106214
—
NY
01
—
1715650
INDEPENDENT HEALTH
—
Enumeration date
03/30/2009
Last updated
05/29/2013
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