Suresh Alla is a Nephrology in Peoria, Illinois. Suresh Alla practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Suresh Alla is 1134339203. The last update date is 2022-06-03.
Suresh 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 Suresh Alla is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suresh Alla |
|---|---|
| Address | 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134339203 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| 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 | 36130043 |
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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. |
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What is the unique 10-digit identification code assigned to Suresh Alla by the Centers for Medicare & Medicaid Services?
The Suresh Alla has been issued the NPI (National Provider Identifier) 1134339203, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Suresh Alla's facilities are situated?
The facilities of Suresh Alla are physically located at the following address: 420 Ne Glen Oak Ave Ste 401, Peoria, IL, 616033112.
What is the Suresh Alla's area of specialization and corresponding taxonomy classification?
The Suresh Alla's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
When did the Suresh Alla receive its 1134339203?
The Suresh Alla was issued its 1134339203 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Suresh Alla last refreshed?
The information related to the Suresh Alla, including its address, specialty, and other relevant details, was last updated on 2022-06-03.
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