- Practice location
- 4300 E Flamingo Ave, Nampa, ID 83687-3138
- Phone
- 208-205-1000
- Fax
- —
- Last updated
- November 17, 2025
Malatesha Gangappa is an Internal Medicine based in Nampa, ID. Malatesha Gangappa practices in Nampa, ID and has the professional credentials of MD. The NPI Number for Malatesha Gangappa is 1982842019 and holds a License No. M-11395 (ID). The current practice location address for Malatesha Gangappa is 4300 E Flamingo Ave, Nampa, ID 83687-3138 and can be reached out via phone at 208-205-1000.
Provider Profile Details
- NPI Number
- 1982842019
- Provider Name
- Malatesha Gangappa
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4300 E Flamingo Ave, Nampa, ID 83687-3138
- Phone Number
- 208-205-1000
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Other Names
- Dr. Malatesha G., MD (Other Name)
- Provider Enumeration Date
- January 28, 2009
- Last Update Date
- November 17, 2025
- Certification Date
- November 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4300 E Flamingo Ave
Nampa, ID 83687-3138 - City
- Nampa
- State
- Idaho
- Zip
- 83687-3138
- Phone Number
- 208-205-1000
Provider Business Mailing Address Details
- Address
- Po Box 190930
Boise, ID 83719-0930 - City
- Boise
- State
- ID
- Zip
- 83719-0930
- Phone Number
- 208-367-5170
- Fax Number
- 208-367-5180
License Information
- License Number (1)
- M-11395
- License State (1)
- ID
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 237566
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Nampa, ID
View all Internal Medicine providers in Nampa →Frequently Asked Questions
What is the NPI number of Dr. Malatesha Gangappa, MD?
The NPI number of Dr. Malatesha Gangappa, MD is 1982842019. It was assigned on January 28, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Malatesha Gangappa, MD?
Dr. Malatesha Gangappa, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ID under license number M-11395.
Where does Dr. Malatesha Gangappa, MD practice?
The practice location is 4300 E Flamingo Ave, Nampa, ID 83687-3138. The office can be reached at 208-205-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982842019 directly on the NPPES registry website.