IndividualActive
Venkatraman Sadanand, MD
NPI 1497741417 · Pediatric Surgery Physician · Boise, ID
Provider details
- NPI number
- 1497741417
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-17274 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-7360
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 25455 Barton Rd Ste 108aLoma Linda, CA 92354-3139Phone: (909) 558-4479
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.