Allam, Bala Sudhakar Reddy

Allam, Bala Sudhakar Reddy is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Allam, Bala Sudhakar Reddy can be contacted via phone (417) 820-2600.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2600
Fax: (417) 820-2100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT189901 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010018938 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2010018938 Missouri

Profile Details

NPI number 1104024231
LBN Legal business name Allam, Bala Sudhakar Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated May 8th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104024231 NPPES
Other 431560263 TRICARE WEST
MEDICAID 183039001 TRICARE WEST
Other P00852017 TRICARE WEST
MEDICAID 1104024231 TRICARE WEST

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