Individual provider · Type 1 NPI

Ranmali Kalyani Walaliyadda, PAC

Physician Assistant · Pocatello, ID

NPI number 1801976923 Active

Practice location

1448 E Center St, Suite E
Pocatello, ID 83201-4132

Fax (208) 234-1333

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA-624 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801976923

Ranmali Kalyani Walaliyadda, PAC's National Provider Identifier is 1801976923, issued on Oct 16, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.