Individual
DR. SURESH ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 JOHN DEERE RD BLDG 2, MOLINE, IL 61265-6898
(309) 517-3036
(309) 797-1088
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
207RH0005X
Hypertension Specialist Physician
036130043
IL
207RH0005X
Hypertension Specialist Physician
40128
IA
207RN0300X
Nephrology Physician
Primary
036130043
IL
207RN0300X
Nephrology Physician
40128
IA
Other
Enumeration date
05/23/2007
Last updated
01/16/2025
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