Individual
KISHORE VENKATA ALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Mailing address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036114423
IL
208C00000X
Colon & Rectal Surgery Physician
36284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36114423
—
IL
01
—
P00298313
RAILROAD MEDICARE
IL
Enumeration date
09/15/2005
Last updated
05/11/2012
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