Provider Demographics
NPI:1972986727
Name:ALLURI, ABHISHEK VARMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHISHEK
Middle Name:VARMA
Last Name:ALLURI
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 1:330 TURNER MCCALL BLVD SW STE 201
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-5634
Mailing Address - Country:US
Mailing Address - Phone:706-509-4320
Mailing Address - Fax:
Practice Address - Street 1:330 TURNER MCCALL BLVD SW STE 201
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-5634
Practice Address - Country:US
Practice Address - Phone:706-509-4320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAGETP.201512390200000X
GA079337208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program