NPI age
20 years
Enumerated 2006-05-22
● Active
Type 1 · Individual
Phatama Padavanija, MD
Padavanija is 1 of 2 internal medicine providers in Twin Falls and 1 of 22 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-08-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22 active internal medicine providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 40% — 59% of peers are multi-state
Subspecialties
1
In the 81% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
725 Pole Line Rd W
Twin Falls, ID 833015800
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Internal Medicine PrimaryAn internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and...
-
Internal MedicineAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 009997775 | |
| 05 (AL) | 009997765 | |
| 05 (AL) | 009998765 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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