Search › Illinois › 207R00000X
Madhusudan Vallala, MD
NPI 1972516136 · on the registry since 2006
Practice
- Address
- 2 Saint Anthonys Way
Suite 205
Alton, IL 62002 - Phone
- (618) 462-2222
- Fax
- (618) 463-5004
- Organisation at this address
- Saint Anthony'S Physician Group
Southern Illinois Healthcare Foundation IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RC0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois