Individual
SAI PRAMOD KRISHNA ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1651 E POLSTON AVE, POST FALLS, ID 83854-6245
(208) 457-4208
(208) 457-4197
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61448450
WA
208VP0000X
Pain Medicine Physician
M-17197
ID
Other
Enumeration date
05/20/2017
Last updated
05/11/2026
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