Provider Demographics
NPI:1346321098
Name:ALAMIA, RODOLFO ROGELIO (MD)
Entity Type:Individual
Prefix:
First Name:RODOLFO
Middle Name:ROGELIO
Last Name:ALAMIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 W BEN WHITE BLVD STE 212B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7002
Mailing Address - Country:US
Mailing Address - Phone:512-443-8500
Mailing Address - Fax:512-443-2805
Practice Address - Street 1:1221 W BEN WHITE BLVD STE 212B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7002
Practice Address - Country:US
Practice Address - Phone:512-443-8500
Practice Address - Fax:512-443-2805
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3701207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C12649Medicare UPIN
008275Medicare ID - Type Unspecified