Padavanija, Phatama

Padavanija, Phatama is an individual health care provider with primary practice located at 725 Pole Line Rd W , Twin Falls ID 83301-5800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Padavanija, Phatama can be contacted via phone (208) 814-1600.

Contact Information

Primary practice address
725 Pole Line Rd W Twin Falls ID 83301-5800
Phone: (208) 814-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17531 Alabama
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M-11228 Idaho

Profile Details

NPI number 1679527717
LBN Legal business name Padavanija, Phatama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679527717 NPPES
Alabama MEDICAID 009997775
Alabama MEDICAID 009997765
Alabama MEDICAID 009998765

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