HEMANTHA NAVEEN WALALIYADDA

POCATELLO, ID
NPI1295485746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  5771930)
Enumeration Date2022-03-28
Last Update Date2025-12-16
Business Address
HEMANTHA NAVEEN WALALIYADDA MD
1448 E CENTER ST STE E
POCATELLO, ID 83201-4132
Phone number: 208-241-1300
Mailing Address
HEMANTHA NAVEEN WALALIYADDA MD
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111