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NPI Verification

National Provider Identifier: 1134339203

Suresh Alla, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Nephrology

Code: 207RN0300X

All Specialties (4)

Internal Medicine, Hypertension Specialist

Code: 207RH0005X

Internal Medicine, Nephrology

Code: 207RN0300X

Primary

Internal Medicine, Nephrology

Code: 207RN0300X

Internal Medicine, Hypertension Specialist

Code: 207RH0005X

Practice Address

420 NE GLEN OAK AVE STE 401

PEORIA, IL 616033112

Phone: 309-676-8123

NPI Enumeration Date

May 23, 2007

NPI Number

1134339203

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Suresh Alla, M.d. - NPI 1134339203 | Provider Verification | HormoneMap