Individual
DR. SREEDHARA BABU ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 425-3793
Mailing address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 425-3793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007005511
MO
207RN0300X
Nephrology Physician
Primary
2007005511
MO
Other
Enumeration date
04/23/2007
Last updated
08/01/2012
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