Individual
MADHAVI ALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30702
SC
207R00000X
Internal Medicine Physician
M2534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177758301
—
TX
05
—
307028
—
SC
05
—
5910859
—
NC
01
—
PO1240738
RAILROAD MEDICARE
SC
Enumeration date
07/11/2006
Last updated
11/17/2020
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