Rajesh Alla in Peoria - Nephrology

Rajesh Alla - NPI 1154462224

Rajesh Alla is a Nephrology in Peoria, Illinois. Rajesh Alla practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Rajesh Alla is 1154462224. The last update date is 2022-06-03.

Rajesh Alla's current location address is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Rajesh Alla is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Rajesh Alla
Address 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois
Phone Number 3096768123
Fax Number 3096768455
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1154462224
Provider Enumeration Date 2007-02-09
Last Updated Date 2022-06-03

Provider Mailing Address Detail

Address 420 Ne Glen Oak Ave Ste 401
City Peoria
State Illinois (IL)
Post Code 616033112
Phone Number 3096768123
Fax Number 3096768455

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 36401
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8100343 IL BLUE CROSS BLUE SHIELD
1154462224 IL NPI
1740349034 IL NPI GROUP
510917 IL --
56266 IL WELLMARK
P00650330 IL RAILROAD MEDICARE (HOSP)
175471 IA --
361145472 IL --
5232009 IL BLUE CROSS BLUE SHIELD
93122 IL WELLMARK

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FAQs about Rajesh Alla

What is the Rajesh Alla's unique identification number?

The Rajesh Alla has been assigned the NPI (National Provider Identifier) Number 1154462224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Rajesh Alla?

The Rajesh Alla is physically situated at 420 Ne Glen Oak Ave Ste 401, in the city of Peoria, state of IL, with the postal code 616033112.

What is Rajesh Alla's area of expertise and its corresponding taxonomy classification?

The Rajesh Alla's field of specialization is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1154462224 to Rajesh Alla?

The Rajesh Alla received its 1154462224 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.

As of what date were the details pertaining to Rajesh Alla last refreshed?

The information related to the Rajesh Alla, including its address, specialty, and other relevant details, was last updated on 2022-06-03.

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