Individual
MR. AVINASH SHIVAPUTRAPPA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4424 E FLAMINGO AVE STE 220, NAMPA, ID 83687-9289
(208) 302-1100
(208) 302-1155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01073021A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
51869
AZ
207VM0101X
Maternal & Fetal Medicine Physician
MC-2207
ID
Other
Enumeration date
05/07/2007
Last updated
12/18/2025
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