Idaho
Division of Occupational and Professional Licenses
Dr. PHATAMA PADAVANIJA
Board Of Medicine
License number
M-11228
Date granted
02/28/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
MSTI TWIN FALLS TWIN FALLS ID 83301
idaholicensing.com
ID 48330121
LAST UPDATED 2024-04-26 23:13:24 UTC
LAST UPDATED 2024-04-26 23:13:24 UTC
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