Individual provider · NPI-1
Clara Riji Anil, MD
Internal Medicine · Boise, ID
NPI number1043578818
StatusActive
Last updated in NPPESJun 29, 2015
Details
- NPI
- 1043578818
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Clara Riji Anil
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2012
- Last updated
- Jun 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | M 12946 | ID | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Clara Riji Nedumbakaran George (Former Name)
Practice location
1055 N Curtis RdSamg Internal Medicine Hospitalists
Boise, ID 83706-1309
Phone 208-367-7350
Mailing address
1055 N Curtis RdSamg Internal Medicine Hospitalists
Boise, ID 83706-1309
Phone 208-367-7350
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