PHATAMA PADAVANIJA

TWIN FALLS, ID
NPI1679527717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RX0202X Internal Medicine Medical Oncology
(Licence: ID  M-11228)
Additional Taxonomies207RH0003X Internal Medicine Hematology & Oncology
(Licence: AL  17531)
Enumeration Date2006-05-22
Last Update Date2014-08-04
Business Address
PHATAMA PADAVANIJA MD
725 POLE LINE RD W
TWIN FALLS, ID 83301-5800
Phone number: 208-814-1600
Mailing Address
PHATAMA PADAVANIJA MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222