Individual
DR. HIMABINDU ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-9869
(309) 762-2313
Mailing address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-9869
(309) 762-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036114594
IL
207Q00000X
Family Medicine Physician
35981
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114594
—
IL
05
—
1194780049
—
IA
Enumeration date
04/20/2006
Last updated
02/05/2015
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