Organization
ARTHRITIS CENTER OF IDAHO,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKAVARAM NARSIMHA REDDY MD (MD)
(208) 814-8150
Entity
Organization
Contact information
Practice address
775 POLE LINE RD W, SUITE 115, TWIN FALLS, ID 83301-5814
(208) 814-8150
(208) 732-3112
Mailing address
775 POLE LINE RD W, SUITE 115, TWIN FALLS, ID 83301-5814
(208) 814-8150
(208) 732-3112
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M9605
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807465000
—
ID
01
—
DF0268
RR MEDICARE
ID
Enumeration date
06/06/2006
Last updated
03/09/2013
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