Individual
SURYADEV R ALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-3000
Mailing address
610 SENTRY PKWY STE 102, BLUE BELL, PA 19422-2314
(484) 965-9566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
347900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347900
LICENSE
LA
Enumeration date
04/13/2022
Last updated
06/22/2026
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