Dr. Vivek Kantayya, MD
Dr. Vivek Kantayya, MD is a Family Medicine Physician in Boise, Idaho. Licensed in Idaho and Illinois. Registered with an NPI since 2005.
- Licensed in
- ID, IL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
300 S 23rd StBoise, ID 83702-9100
Phone: (208) 344-3512
Fax: (208) 344-4898
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M-12703 (ID) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036081072 (IL) |
Record details
| NPI number | 1437132479 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 23, 2005 |
| Last updated in NPPES | June 9, 2015 |
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