SREENIVASA R ALLA

JACKSON PHYSICIAN CORP

Dr SREENIVASA R ALLA is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2005.

Contact

JACKSON PHYSICIAN CORP

726 HWY 15 N
JACKSON
KY
413398601

Tel:

SREENIVASA R ALLA Information

Npi 1972735025
Pac Id 2668615642
Professional Enrollment Id I20130822000063
Last Name ALLA
First Name SREENIVASA
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JACKSON PHYSICIAN CORP
Group Practice Pac Id 9436149275
Number Of Group Practice Members 6
Line 1 Street Address 726 HWY 15 N
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City JACKSON
State KY
Zip Code 413398601
Phone Number
Hospital Affiliation Ccn 1 180139
Hospital Affiliation Lbn 1 KENTUCKY RIVER MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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