Individual
DR. MOHANA RAO ARLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 DR ARLA WAY STE 101, LOUISVILLE, KY 40229-5427
(502) 055-4889
(502) 957-1201
Mailing address
1402 HADLEIGH PL, LOUISVILLE, KY 40222-5651
(502) 425-6489
(502) 957-1202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KY19765
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301612
BLUE CROSS
KY
01
—
1101521
PASSPORT
KY
01
—
2442799000
PASSPORT ADVANTAGE
KY
Enumeration date
09/21/2006
Last updated
11/19/2008
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