Serrano Russi, Alvaro H

Serrano Russi, Alvaro H is an individual health care provider with primary practice located at 325 N. State Of Franklin Road Ground Fl, Johnson City TN 37604. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Serrano Russi, Alvaro H can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N. State Of Franklin Road Ground Fl Johnson City TN 37604
Phone: (423) 439-7320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 65362 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 65362 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD436046 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X C1422548 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39570 Iowa
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MT194028 Pennsylvania

Profile Details

NPI number 1306076039
LBN Legal business name Serrano Russi, Alvaro H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2009
Last updated Jan 25th, 2024 - about 10 months 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 1306076039 NPPES
Tennessee MEDICAID Q074608

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