Dr Vivek Kantayya, MD | |
300 S 23rd St, Boise, ID 83702-9100 | |
(208) 344-3512 | |
(208) 344-4898 |
Full Name | Dr Vivek Kantayya |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 300 S 23rd St, Boise, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437132479 | NPI | - | NPPES |
036081072 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036081072 (Illinois) | Secondary |
207Q00000X | Family Medicine | M-12703 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Vivek Kantayya, MD 3063 S Old Hickory St, Boise, ID 83716-5812 Ph: (815) 871-3628 | Dr Vivek Kantayya, MD 300 S 23rd St, Boise, ID 83702-9100 Ph: (208) 344-3512 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |