Organization
IDAHO MEMORY & AGING CENTER PLLC
Active
Organization
IDAHO MEMORY & AGING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHILASH K DESAI M.D. (MEDICAL DIRECTOR)
(617) 922-4957
Entity
Organization
Contact information
Practice address
413 N ALLUMBAUGH ST, STE# 101, BOISE, ID 83704-9212
(617) 922-4957
Mailing address
413 N ALLUMBAUGH ST, STE# 101, BOISE, ID 83704-9212
(617) 922-4957
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
M-12079
ID
Other
Enumeration date
06/14/2013
Last updated
07/19/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up