DR. Ananda Walaliyadda, M.D.

NPI #1497747703 in Pocatello, Idaho

Provider Information

NPI Number: 1497747703
Entity Type: Individual
Name: DR. Ananda Walaliyadda, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 22, 2005
Last Updated: Jun 29, 2022

Practice Location

Address: 1448 E CENTER ST
Address 2: SUITE E
City: Pocatello
State: Idaho
ZIP Code: 83201-4132
Phone: (208) 234-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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