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NPI Code Detail

MEDICARE: DR. NIRMAL B. CHARAN MD

MEDICARE: DR. NIRMAL B. CHARAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianM-4835ID
2207RP1001XPulmonary Disease PhysicianM-4835ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023195708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIRMAL B. CHARAN MD
Provider Business Mailing Address
First Line : 500 W FORT ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-1325
Fax Number : 208-422-1315
Provider Business Practice Location Address
First Line : 500 W FORT ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-1325
Fax Number : 208-422-1315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 01/18/2026

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