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1487143442
ADITYA NATHAN
COEUR D ALENE, ID
NPI
1487143442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID O-1976)
Enumeration Date
2018-05-05
Last Update Date
2024-05-24
Business Address
Mr. ADITYA NATHAN
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
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Mailing Address
Mr. ADITYA NATHAN
500 UNIVERSITY PKWY APT 105
YAKIMA, WA 98901-8224
Phone number: 503-962-9023
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