Dr Madhusudan Vallala, MD | |
2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 | |
(618) 462-2222 | |
(618) 463-5004 |
Full Name | Dr Madhusudan Vallala |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2 Saint Anthonys Way, Alton, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972516136 | NPI | - | NPPES |
036053208 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036053208 (Illinois) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 036053208 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Madhusudan Vallala, MD 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 Ph: (618) 462-2222 | Dr Madhusudan Vallala, MD 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 Ph: (618) 462-2222 |
Ibrahim B.i. Elayyan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 314-317-0600 Fax: 314-317-0606 | |
Dr. Barry Michael Mossman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr, Ste 220, Alton, IL 62002 Phone: 618-474-1723 Fax: 618-474-6989 | |
Dr. Matthew Austin Nations, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 | |
Mr. David Robert Riedel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-463-7874 Fax: 618-463-7846 | |
Dr. Stanley J Sidwell Iv, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Edward B Blair Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Saint Anthonys Way, Suite 205, Alton, IL 62002 Phone: 618-462-2222 Fax: 618-463-5004 | |
Dr. William Ray Bartley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Dr, Suite 220, Alton, IL 62002 Phone: 618-463-8626 Fax: 618-463-8688 |