PHATAMA PADAVANIJA MD – NPI #1679527717
Internal Medicine
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
PHATAMA PADAVANIJA is a physician located in TWIN FALLS, ID. NPPES has assigned the NPI number 1679527717 to PHATAMA PADAVANIJA on May 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology
The NPI profile was previously updated about 12 years ago on Aug 04, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHATAMA PADAVANIJA below.
NPI Profile for
PHATAMA PADAVANIJA
(more than 20 years ago)
TWIN FALLS, ID 83301-5800 Phone: (208) 814-1600 Fax:
BOISE, ID 83712-6241 Phone: (208) 381-2222 Fax:
Identifiers for PHATAMA PADAVANIJA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AL | 009997775 | |
| MEDICAID | AL | 009998765 | |
| MEDICAID | AL | 009997765 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RX0202X - Internal Medicine / Medical Oncology (Primary) |
ID | M-11228 |
| 207RH0003X - Internal Medicine / Hematology & Oncology |
AL | 17531 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
PHATAMA PADAVANIJA is affiliated with the following medical group(s):
- HOSPITAL
- ST LUKE'S JEROME709 NORTH LINCOLN AVENUE
JEROME, ID 83338 - ST LUKE'S REGIONAL MEDICAL CENTER190 EAST BANNOCK STREET
BOISE, ID 83712 - ST LUKE'S WOOD RIVER MEDICAL CENTER100 HOSPITAL DRIVE
KETCHUM, ID 83340 - ST LUKES MAGIC VALLEY MEDICAL CENTER801 POLE LINE ROAD WEST
TWIN FALLS, ID 83301
- ST LUKE'S JEROME709 NORTH LINCOLN AVENUE
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