Bala Sudhakar Reddy Allam, M.D.
Hospitalist in Springfield, MO. Individual provider (NPI-1).
NPI number1104024231
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1104024231
- Entity type
- Individual (NPI-1)
- Name
- Bala Sudhakar Reddy Allam
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2007
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 2010018938 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT189901 | PA | |
| 207R00000X | Internal Medicine | 2010018938 | MO |
Practice location
1235 E Cherokee StSpringfield, MO 65804-2203
Phone 417-820-2600 · Fax 417-820-2100
Mailing address
Po Box 2580Springfield, MO 65801-2580
Phone 417-829-4620
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