Shravan Vallala M.D

NPI 1104152487 - Pediatrics - 208000000X

NPI Details
NPI 1104152487
Gender Male
Enumeration Date 10/21/2009
Last Updated 09/24/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
4801 ALBERTA AVE
EL PASO TX, 79905-2707, US
Phone (915) 545-6810
Fax (915) 545-8870
Business Location
4800 ALBERTA AVE STE 101
EL PASO TX, 79905-2709, US
Phone (915) 545-6720
Fax (915) 545-5755
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 57.016708
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According to our database, Dr. Shravan Vallala M.D NPI is 1104152487, taxonomy code is 208000000X and license number is 57.016708, license state is located at Ohio. Shravan Vallala M.D physically located at 4801 Alberta Ave, El Paso TX, 79905-2707. NPI Number Shravan Vallala M.D has the Individual type.

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1104152487 NPI number is provided on an as is basis without warranty of any kind. 1104152487 is maintained by the National Plan & Provider Enumeration System. The contents of Shravan Vallala M.D are for informational purposes only.