Individual
DR. RAJESH ALLA
Active
Sole proprietor
Yes
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
036114547
IL
207RN0300X
Nephrology Physician
Primary
36114547
IL
207RN0300X
Nephrology Physician
36401
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175471
—
IA
05
—
0361145472
—
IL
01
—
05232009
BLUE CROSS BLUE SHIELD
IL
01
—
08100343
BLUE CROSS BLUE SHIELD
IL
01
—
1154462224
NPI
IL
01
—
1740349034
NPI GROUP
IL
01
—
56266
WELLMARK
IL
01
—
93122
WELLMARK
IL
01
—
P00650330
RAILROAD MEDICARE (HOSP)
IL
Enumeration date
02/09/2007
Last updated
01/16/2025
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