NPI 1760903363

Sheev Indravadan Dattani, MD

Practitioner Colon & Rectal Surgery Physician Boise, ID

Practice location

Address: 1072 N Liberty Street STE 201, Boise, ID 83704
Phone: (208) 302-2400
Fax: (208) 302-2455
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence M-13990 (ID)

Other Colon & Rectal Surgery providers in Idaho →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence ME133177 (FL)

Other Surgery providers in Idaho →

Registry record

NPI: 1760903363
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2017
Record last updated: 19 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.