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Search › Idaho › 207Q00000X

Vivek Kantayya, MD

NPI 1437132479 · on the registry since 2005

Practice

Address
300 S 23rd St
Boise, ID 83702
Phone
(208) 344-3512
Fax
(208) 344-4898
Organisation at this address
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
IL, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-09

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