Individual
ANITA KADIKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Mailing address
PO BOX 51437, PHOENIX, AZ 85076-1437
(480) 759-1027
(480) 759-1031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
32085
AZ
207RP1001X
Pulmonary Disease Physician
Primary
32085
AZ
Other
Enumeration date
06/30/2005
Last updated
12/07/2024
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