VENKATESWARARAO ALLA M.D. NPI 1669476339

NPI Information

NPI: 1669476339
Provider Name: VENKATESWARARAO ALLA, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
400 JOHN DEERE RD BLDG 1
MOLINE, IL
ZIP 61265
Phone: (309) 517-3036
Get Directions

Venkateswararao Alla, M.D. is a nephrology internal medicine in Moline, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Venkateswararao Alla, M.D. NPI is 1669476339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 JOHN DEERE RD BLDG 1
MOLINE, IL
ZIP 61265-898
Phone: (309) 517-3036
Fax: (309) 797-1088

The enumeration date for this NPI number is 6/9/2005 and was last updated on 6/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	036056049	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C51894	MEDICARE UPIN	ILLINOIS
2	036056049	MEDICAID	ILLINOIS
3	1904573	OTHER	ILLINOIS	PUBLIC AID IA
4	56266	OTHER	IOWA	WELLMARK
5	0175471	OTHER	IOWA	IA PUBLIC AID GP IA POS
6	K08170	MEDICARE PIN
7	IB1568006	MEDICARE PIN	IOWA
8	1669476339	OTHER		NPI
9	08100343	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
10	0904573	OTHER	IOWA	PUBLIC AID
11	93122	OTHER	ILLINOIS	WELLMARK
12	209482	MEDICARE PIN	ILLINOIS
13	305250	MEDICARE PIN	ILLINOIS
14	55646	OTHER	IOWA	WELLMARK
15	CC2945	MEDICARE PIN	ILLINOIS
16	0510917	OTHER	ILLINOIS	IA PUBLIC AID GROUP IL PO
17	05232009	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
18	1740349034	OTHER		GROUP NPI
19	99236	OTHER	ILLINOIS	WELLMARK
20	IB1568	MEDICARE PIN	IOWA
21	L61226	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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