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Primary Practice Address
300 S 23RD ST
BOISE, ID 83702-9100 US

Vivek Kantayya

Family Medicine Physician


Vivek Kantayya

Overview

Vivek Kantayya is a Family Medicine Physician in the BOISE area. Vivek Kantayya primary office location is at 300 S 23RD ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1437132479 and the information was updated approximately 10 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
300 S 23RD ST
BOISE, ID 83702-9100 US
Phone: (208)-344-3512
Fax:
Practice Mailing Information
3063 S OLD HICKORY ST
BOISE, ID 83702-9100 US
Phone: (815)-871-3628
Fax:
License Number State
036081072 IL
M-12703 ID