Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Natalisse Wahlstrom-Davila, MD

Individual provider General Practice Physician · NPI 1366145591

Dr. Natalisse Wahlstrom-Davila, MD is a Family Practice in Buckeye, Arizona. Qualified in 2016, 10 years ago. Practices with Khakwani and Mohammad Medical PC, a 13-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Puerto Rico.

Years since qualifying
10
Licensed in
AZ, PR
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Watson Rd Ste C104
Buckeye, AZ 85326-8689
Phone: (623) 025-1755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8 Carr 833, Guaynabo, PR 00969-3365 — (787) 625-5050

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 74447 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 23143 (PR)

Record details

NPI number1366145591
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Khakwani And Mohammad Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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