Individual
DR. ALFONSO LLANO
Active
Individual
DR. ALFONSO LLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101223311
VA
207R00000X
Internal Medicine Physician
Primary
41384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005863571
—
VA
01
—
110231194
RAILROAD MEDICARE
—
01
—
219970
ANTHEM BC/BS
VA
01
—
298373
MDIPA/MAMSI/OPTIMUM
—
01
—
51574
SENTARA OPTIMA
VA
01
—
541910047
CIGNA
—
01
—
603296
BC/BS PENNSYLVANIA
PA
05
—
8906415
—
NC
05
—
911940000
—
FL
Enumeration date
07/01/2005
Last updated
01/14/2015
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