Organization · Type 2 NPI

Madhusudan Vallala M.d., S.c.

Cardiovascular Disease Physician · Jacksonville, IL

NPI number 1609177005 Active

Practice location

1515 W Walnut St
Jacksonville, IL 62650-1150

Fax (217) 245-1453

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X036053208 (IL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

18 other providers at this address

About NPI 1609177005

Madhusudan Vallala M.d., S.c.'s National Provider Identifier is 1609177005, issued on Nov 16, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Jacksonville, IL. The record was last updated on Nov 16, 2010.