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Individual

MURALI N BATHINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 E ELM STREET, STE 350, CALDWELL, ID 83605
(208) 454-6363
(208) 454-3512
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 322-1680
(208) 322-1695

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M6347
ID

Other

Enumeration date
05/20/2006
Last updated
09/11/2012
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