Individual provider · Type 1 NPI
Ananda Walaliyadda, MD
Specialist · Pocatello, ID
NPI number
1497747703
Active
Practice location
1448 E Center St, Suite E
Pocatello, ID 83201-4132
Fax (208) 234-1333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M8731 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
Other specialist providers in Pocatello
About NPI 1497747703
Ananda Walaliyadda, MD's National Provider Identifier is 1497747703, issued on Aug 22, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 29, 2022.