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General NPI Number Information
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NPI Number | 1053553586
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Entity Type | Individual
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Provider Name | SHYAM S R ALLAMANENI MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 4750 E GALBRAITH RD STE. 206
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City | CINCINNATI
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State | OH
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Zip | 45236-6706
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Country | US
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Telephone | 513-686-1476
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Fax | 513-686-5620
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Provider Business Mailing Address
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Address Line | 4750 E GALBRAITH RD STE. 206
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City | CINCINNATI
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State | OH
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Zip | 45236-6706
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Country | US
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Telephone | 513-686-1476
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Fax | 513-686-5620
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.097908
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 35.097908
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License Number State | OH
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