-- PHATAMA PADAVANIJA -- MD
Individual Provider (NPI-1)
Active
Internal Medicine, Medical Oncology
Provider Information
- NPI Number
1679527717- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 725 POLE LINE RD W, TWIN FALLS, ID, 833015800
- Phone
- (208) 814-1600
Specialties & Taxonomies
Internal Medicine, Hematology & Oncology
License: AL #17531
Internal Medicine, Medical Oncology
Primary License: ID #M-11228