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Ruthvik Reddy Allala

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as RUTHVIK ALLALA.

Based on the most recent information from CMS, provider Ruthvik Reddy Allala is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1083305551
Provider Type
Individual
Full Name
Allala, Ruthvik Reddy
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/16/2023
Last Updated
5/16/2023

Contact Information

Practice Location

3601 4th St, Lubbock, TX 79430-0002

(806) 743-1000

Unlisted Fax

Mailing Location

3601 4th St, Lubbock, TX 79430-0002

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License BP10083784 Texas

Ruthvik Reddy Allala

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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