Phatama Padavanija, MD
Phatama Padavanija, MD is a Medical Oncology in Twin Falls, Idaho. Graduated from University of South Alabama College of Medicine in 1990, 36 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Alabama and Idaho.
- Years since qualifying
- 36
- Trained at
- University of South Alabama College of Medicine
- Licensed in
- AL, ID
- In the registry since
- 2006
- 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
725 Pole Line Rd WTwin Falls, ID 83301-5800
Phone: (208) 814-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Oncology Physician (primary) | Taxonomy 207RX0202X · Licence M-11228 (ID) |
|---|---|
| Hematology & Oncology Physician | Taxonomy 207RH0003X · Licence 17531 (AL) |
Record details
| NPI number | 1679527717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 22, 2006 |
| Last updated in NPPES | August 4, 2014 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Medicare enrollment
| Medicare specialty | MEDICAL ONCOLOGY |
|---|---|
| Medical school | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduated | 1990 (36 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Twin Falls
-
Dr. A. Richard Miranda, MD
706 N College Rd Ste A, Twin Falls, ID 83301-5824 · (208) 736-8006
-
Miranda Medical, PLLC
706 N College Rd Ste A, Twin Falls, ID 83301-5824 · (208) 736-8006