Individual
RAJU G AILIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36587
IA
207RC0000X
Cardiovascular Disease Physician
Primary
46216
WI
207RC0000X
Cardiovascular Disease Physician
49268
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34550600
—
WI
Enumeration date
05/31/2005
Last updated
06/04/2015
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