SULABHA CHAGANABOYANA M.D.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1659668218- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 315 E ELM ST # 201, CALDWELL, ID, 836054857
- Phone
- (208) 514-2528
- Fax
- (208) 375-2217
Specialties & Taxonomies
Family Medicine
License: KS #94-07773
Family Medicine
License: WV #26025
Family Medicine
Primary License: ID #M13891