Individual
KALYAN C.C. ALURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4630 W JEFFERSON BLVD STE 8, FORT WAYNE, IN 46804-6800
(260) 547-7543
(260) 234-3295
Mailing address
4630 W JEFFERSON BLVD STE 8, FORT WAYNE, IN 46804-6800
(260) 547-7543
(260) 234-3295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064978A
IN
207Q00000X
Family Medicine Physician
40518
AZ
207Q00000X
Family Medicine Physician
MT187098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345978
—
AZ
Enumeration date
04/15/2008
Last updated
02/18/2025
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