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Phatama Padavanija, MD
Medical Oncology Physician in Twin Falls, Idaho
NPI 1679527717

Phatama Padavanija is a Medical Oncology Physician based in Boise, ID and is specialized in Medical Oncology. Phatama Padavanija practices in Twin Falls, ID and has the professional credentials of MD. The NPI Number for Phatama Padavanija is 1679527717 and holds a License No. 17531 (Idaho).

The current practice location address for Phatama Padavanija is 725 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-1600. You can also correspond with Phatama Padavanija through the mailing address at 190 E BANNOCK ST, BOISE, ID - 83712-6241 (mailing address contact number: 208-381-2222).

Location: 725 Pole Line Rd W, Twin Falls, ID, 83712-6241
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Provider Profile Details
NPI Number
1679527717
Provider Name
Phatama Padavanija
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
725 Pole Line Rd W, Twin Falls, ID, 83712-6241
Phone Number
208-814-1600
Fax Number
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009997775 05 AL
009997765 05 AL
009998765 05 AL
institution
Provider Business Practice Location Address Details
Address
725 Pole Line Rd W
City
State
Zip
83301-5800
Phone Number
208-814-1600
Fax Number
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Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2222
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
M-11228 (Idaho)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
License No.
17531 (Alabama)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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