Alla, Raghavarao
Alla, Raghavarao is an sole proprietor health care provider with primary practice located at 2495 Shreveport Hwy , Pineville LA 71360-4044. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alla, Raghavarao can be contacted via phone (318) 473-0010.Contact Information
Primary practice address
2495 Shreveport Hwy
Pineville LA 71360-4044
Phone: (318) 473-0010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 06102R | Louisiana |
Profile Details
| NPI number | 1518962638 |
|---|---|
| LBN Legal business name | Alla, Raghavarao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Oct 13th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518962638 | NPPES |
| Louisiana | MEDICAID | 1335096 |
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