National Provider Identifier Database

IDAHO MEMORY AGING CENTER PLLC
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

IDAHO MEMORY & AGING CENTER PLLC
413 N ALLUMBAUGH ST
STE# 101
BOISE, ID83704-9212
Phone: 617-922-4957
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for IDAHO MEMORY & AGING CENTER PLLC

NPI Number 1730528548
Legal business name
LBN
IDAHO MEMORY & AGING CENTER PLLC
Authorized official ABHILASH DESAI - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/14/2013
Last updated 07/19/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: M-12079

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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