MEDICARE: ALAMO LIVER INSTITUTE PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RT0003X	Transplant Hepatology Physician
2	207RI0008X	Hepatology Physician

General Provider Information

NPI Number	:	1750236501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMO LIVER INSTITUTE PLC

Provider Business Mailing Address
First Line	:	6715 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6715 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7218
Country	:	US
Telephone Number	:	210-405-9000
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	MADHAVI RUDRARAJU
Credential	:	MD
Telephone Number	:	210-405-9000

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “ALAMO LIVER INSTITUTE PLC ” Practice Location

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