IndividualActive
Anant Wadhwa
NPI 1477968188 · Neurology Physician · Boise, ID
Provider details
- NPI number
- 1477968188
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2014014255 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
125 E Idaho St Ste 300
Boise, ID 83712-6256
Phone: (208) 381-7335
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 1 Hospital DriveColumbia, MO 65202Phone: (573) 882-1515Fax: (573) 884-0070
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.