Idaho Memory & Aging Center PLLC
Idaho Memory & Aging Center PLLC is a Geriatric Psychiatry Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
413 N Allumbaugh St Ste# 101Boise, ID 83704-9212
Phone: (617) 922-4957
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Psychiatry Physician (primary) | Taxonomy 2084P0805X · Licence M-12079 (ID) |
|---|
Record details
| NPI number | 1730528548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abhilash Desai — Medical Director · (617) 922-4957 |
| NPI enumerated | June 14, 2013 |
| Last updated in NPPES | July 19, 2013 |
| Mailing address | 413 N Allumbaugh St, Ste# 101, Boise, ID 83704-9212 |
Other providers in Boise
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Frank Alan Germano, MD
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Dr. Mahendra P Upadhyaya, MD
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