| Indira Alluru Md Pc | |
|
414 Perry Rd Grand Blanc MI 48439-1467 | |
| (810) 695-1849 | |
| (810) 695-1736 |
| Full Name | Indira Alluru Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 414 Perry Rd, Grand Blanc, Michigan |
| Authorized Official Name and Position | Indira Alluru (OWNER) |
| Authorized Official Contact | 8106951849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indira Alluru Md Pc 414 Perry Rd Grand Blanc MI 48439-1467 Ph: (810) 695-1489 | Indira Alluru Md Pc 414 Perry Rd Grand Blanc MI 48439-1467 Ph: (810) 695-1849 |
| NPI Number | 1700042868 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 05/24/2019 |
| Medicare PECOS PAC ID | 4688741242 |
|---|---|
| Medicare Enrollment ID | O20080923000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700042868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301085409 (Michigan) | Primary |
| Provider Name | Indira Alluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003918095 PECOS PAC ID: 9335179548 Enrollment ID: I20050817000792 |
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