Individual
RAMANN NALLAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE STE 100, HUNTSVILLE, AL 35801-3755
(256) 535-5992
(844) 213-5223
Mailing address
420 LOWELL DR SE STE 100, HUNTSVILLE, AL 35801-3755
(256) 535-5992
(844) 213-5223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007934344
AETNA
—
05
—
009911324
—
AL
05
—
051509140
—
AL
01
—
110237754
RAILROAD MEDICARE
—
01
—
51541552
BLUE CROSS BLUE SHIELD
AL
01
—
631285668
TAX ID
—
Enumeration date
11/09/2005
Last updated
01/21/2024
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