Organization Active NPI

Rammohan Marla, P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rock Island, IL
National Provider Identifier
1023402864
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036134953 Issued in IL
Legal business name
RAMMOHAN MARLA, P.C.
Practice address
2570 24TH St
Ste 127
Rock Island, IL 61201-5394
Phone
(309) 779-4350
Fax
(309) 779-4355
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rammohan Marla, MD
Title
President
Phone
(563) 613-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 036134953 IL Primary

Addresses

Primary practice location

2570 24TH St
Ste 127
Rock Island, IL 61201-5394

Mailing address

2570 24TH St
Ste 127
Rock Island, IL 61201-5394
Phone (309) 779-4350

Other identifiers 1

IdentifierTypeStateIssuer
036134953OtherILLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1023402864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 24TH ST",
            "address_2": "STE 127",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015394",
            "telephone_number": "309-779-4350",
            "fax_number": "309-779-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 24TH ST",
            "address_2": "STE 127",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015394",
            "telephone_number": "309-779-4350",
            "fax_number": "309-779-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMMOHAN MARLA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "MARLA",
        "authorized_official_first_name": "RAMMOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-613-4277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036134953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036134953",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.