Provider Demographics
NPI:1356309413
Name:ALLADA, SAMBASIVA RAO (MD)
Entity type:Individual
Prefix:DR
First Name:SAMBASIVA
Middle Name:RAO
Last Name:ALLADA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 WOODRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2941
Mailing Address - Country:US
Mailing Address - Phone:478-274-1544
Mailing Address - Fax:478-277-2812
Practice Address - Street 1:1826 VETERANS BLVD
Practice Address - Street 2:CARL VINSON VAMC
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3620
Practice Address - Country:US
Practice Address - Phone:478-277-2746
Practice Address - Fax:478-277-2812
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
GA034763208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery