Praveen Anuradha Walaliyadda, MD
Praveen Anuradha Walaliyadda, MD is a Geriatric Medicine in Pocatello, Idaho. Qualified in 2020, 6 years ago. Licensed in Idaho.
- Years since qualifying
- 6
- Licensed in
- ID
- In the registry since
- 2020
- 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
1448 E Center St Ste EPocatello, ID 83201-4132
Phone: (208) 234-1300
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rheumatology Physician (primary) | Taxonomy 207RR0500X · Licence M-16603 (ID) |
|---|---|
| Geriatric Medicine (Internal Medicine) Physician | Taxonomy 207RG0300X · Licence M16603 (ID) |
Record details
| NPI number | 1710515135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 31, 2020 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
Medicare enrollment
| Medicare specialty | GERIATRIC MEDICINE |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |