Sai Pramod Krishna Alla, MD | |
1641 E Polston Ave Ste 101, Post Falls, ID 83854-7852 | |
(208) 457-4208 | |
(208) 457-4197 |
Full Name | Sai Pramod Krishna Alla |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1641 E Polston Ave Ste 101, Post Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396272357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | M-17197 (Idaho) | Secondary |
207L00000X | Anesthesiology | MD61448450 (Washington) | Primary |
Entity Name | Interventional Spine And Pain Management Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Piedmont Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Sai Pramod Krishna Alla, MD 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Sai Pramod Krishna Alla, MD 1641 E Polston Ave Ste 101, Post Falls, ID 83854-7852 Ph: (208) 457-4208 |
Jessica Berryman Jameson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1641 E Polston Ave Ste 101, Post Falls, ID 83854 Phone: 208-457-4208 Fax: 208-457-4197 |