Search › Idaho › 207RC0200X
Ravi Nallamothu, M.D
NPI 1265764781 · on the registry since 2010
Practice
- Address
- 1055 N Curtis Rd
Boise, ID 83706 - Phone
- (208) 302-2000
- Fax
- (208) 302-2055
- Organisation at this address
- Cep America, Llc
St Alphonsus Reg Med
Boise Anesthesia, Pa
Boise Anesthesia, P A
Gem State Radiology LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 407
Additional practice sites
- 913 Washington St, Calistoga, CA
- 275 Hospital Dr, Ukiah, CA
- 6 Woodland Rd, Saint Helena, CA
- 700 W Ironwood Dr Ste 378, Coeur D Alene, ID
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 207RP1001X
207RP1001X
207RC0200X
207RP1001X - Licence states on file
- ID, CA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho