DR. M.D. Rajesh Alla, NPI 1154462224
Nephrology Physician in Moline, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154462224
NPI Entity Type Individual
Provider Name DR. M.D. Rajesh Alla
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 400 John Deere Rd Bldg 2, Moline, IL, US
Provider Mailing Address 420 Ne Glen Oak Ave Ste 401, Peoria, IL, US, 616033112
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207RN0300X

Taxonomy Name Nephrology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 36114547
License State IL
Description 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.

Business Address

DR. M.D. Rajesh Alla
400 John Deere Rd Bldg 2

Moline, IL, US

Phone: 309-517-3036
Fax: 309-797-1088

Mailing Address

DR. M.D. Rajesh Alla
420 Ne Glen Oak Ave Ste 401
Peoria, IL, US
ZIP 616033112
Phone: 309-676-8123
Fax: 309-676-8455

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RH0005X

Allopathic & Osteopathic Physicians

Internal Medicine

036114547 IL No

207RN0300X

Allopathic & Osteopathic Physicians

Internal Medicine

36401 IA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
08100343 IL BLUE CROSS BLUE SHIELD 01
1154462224 IL NPI 01
1740349034 IL NPI GROUP 01
0510917 IL MEDICAID 05
56266 IL WELLMARK 01
P00650330 IL RAILROAD MEDICARE (HOSP) 01
0175471 IA MEDICAID 05
0361145472 IL MEDICAID 05
05232009 IL BLUE CROSS BLUE SHIELD 01
93122 IL WELLMARK 01

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