Individual
PRANABH SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843
(208) 882-4511
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 882-4511
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M-14643
ID
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
M-14643
ID
207RP1001X
Pulmonary Disease Physician
Primary
M-14643
ID
207RP1001X
Pulmonary Disease Physician
MD61325352
WA
Other
Enumeration date
06/03/2010
Last updated
01/07/2025
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