Alla, Rajesh
Alla, Rajesh is an sole proprietor health care provider with primary practice located at 400 John Deere Rd Bldg 2 , Moline IL 61265-6898. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Alla, Rajesh can be contacted via phone (309) 517-3036.Contact Information
Primary practice address
400 John Deere Rd Bldg 2
Moline IL 61265-6898
Phone: (309) 517-3036
Fax: (309) 797-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | 036114547 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 36401 | Iowa |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 36114547 | Illinois |
Profile Details
| NPI number | 1154462224 |
|---|---|
| LBN Legal business name | Alla, Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jun 3rd, 2022 - about 2 years ago |
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 | 1154462224 | NPPES |
| Illinois | Other | 08100343 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 1154462224 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 1740349034 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 0510917 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 56266 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00650330 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 0175471 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 0361145472 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 05232009 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 93122 | BLUE CROSS BLUE SHIELD |
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