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Individual

DR. KALESWARA RAO ALLAMNENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
400 WHITESPORT DR SW, SUITE 102, HUNTSVILLE, AL 35801-6452
(256) 880-1200
(256) 880-7272
Mailing address
400 WHITESPORT DR SW, SUITE 102, HUNTSVILLE, AL 35801-6452
(256) 880-1200
(256) 880-7272

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
00013815
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19058
BLUE CROSS
AL
05
19058
AL
01
80879
BLUECROSS PROVIDER NUMBER
AL
Enumeration date
08/31/2006
Last updated
07/08/2007
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