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

Shahla Walizada, DO

Individual provider Family Medicine Physician · NPI 1205272986

Shahla Walizada, DO is a Family Practice in Boise, Idaho. Graduated from Pacific Medical College in 2013, 13 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
13
Trained at
Pacific Medical College
Licensed in
ID
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2141 E Parkcenter Blvd Samg Bhp Family Medicine
Boise, ID 83706
Phone: (208) 302-5000
Fax: (208) 302-5025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O0953 (ID)

Record details

NPI number1205272986
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESOctober 20, 2016
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC MEDICAL COLLEGE
Graduated 2013 (13 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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