Palla, Amruth R

Palla, Amruth R is an individual health care provider with primary practice located at 4500 Campus Ridge Dr , Midland MI 48670-8489. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Palla, Amruth R can be contacted via phone (989) 839-6188.

Contact Information

Primary practice address
4500 Campus Ridge Dr Midland MI 48670-8489
Phone: (989) 839-6188
Fax: (989) 839-6221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2015030942 Missouri
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 72774 Wisconsin
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 72774 Wisconsin

Profile Details

NPI number 1922205681
LBN Legal business name Palla, Amruth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Nov 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922205681 NPPES
Connecticut Other 11716653 CAQH NUMBER

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