Individual
ANUHYA KOMMALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-2711
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
67212
MN
207RH0003X
Hematology & Oncology Physician
Primary
M-17187
ID
207RX0202X
Medical Oncology Physician
67212
MN
Other
Enumeration date
03/27/2016
Last updated
01/12/2024
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