Individual
VENKATESWARARAO ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 JOHN DEERE RD BLDG 1, MOLINE, IL 61265-6898
(309) 517-3036
(309) 797-1088
Mailing address
400 JOHN DEERE RD, BLDG 1, MOLINE, IL 61265-6898
(309) 517-3036
(309) 797-1088
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036056049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175471
IA PUBLIC AID GP IA POS
IA
05
—
036056049
—
IL
01
—
0510917
IA PUBLIC AID GROUP IL PO
IL
01
—
05232009
BLUE CROSS BLUE SHIELD
IL
01
—
08100343
BLUE CROSS BLUE SHIELD
IL
01
—
0904573
PUBLIC AID
IA
01
—
1669476339
NPI
—
01
—
1740349034
GROUP NPI
—
01
—
1904573
PUBLIC AID IA
IL
01
—
55646
WELLMARK
IA
01
—
56266
WELLMARK
IA
01
—
93122
WELLMARK
IL
01
—
99236
WELLMARK
IL
Enumeration date
06/09/2005
Last updated
06/21/2016
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