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“Geriatric Medicine (internal Medicine) Physician” (Pocatello, ID)

Location: Pocatello, ID
Taxonomy: Geriatric Medicine (internal Medicine) Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1710515135 — PRAVEEN ANURADHA WALALIYADDA MD
Practice Location Address:
1448 E CENTER ST STE E
POCATELLO ID
83201-4132
Practice Phone: 208-234-1300

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