Madhusudan Vallala M.d., S.c.
NPI #1609177005 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1609177005
- Entity Type
- Organization
- Organization Name
- Madhusudan Vallala M.d., S.c.
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Nov 16, 2010
- Last Updated
- Nov 16, 2010
Practice Location
- Address
- 1515 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1150
- Phone
- (217) 245-8712
Authorized Official
- Name
- MRS. SUE VALLALA
- Title
- OFFICE MANAGER
- Phone
- (217) 245-8712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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