Walaliyadda, Ranmali Kalyani

Walaliyadda, Ranmali Kalyani is an individual health care provider with primary practice located at 1448 E Center St Suite E, Pocatello ID 83201-4132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walaliyadda, Ranmali Kalyani can be contacted via phone (208) 234-1300.

Contact Information

Primary practice address
1448 E Center St Suite E Pocatello ID 83201-4132
Phone: (208) 234-1300
Fax: (208) 234-1333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-624 Idaho

Profile Details

NPI number 1801976923
LBN Legal business name Walaliyadda, Ranmali Kalyani
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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