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

Idaho Memory & Aging Center PLLC

Organization Geriatric Psychiatry Physician · NPI 1730528548

Idaho Memory & Aging Center PLLC provides Geriatric Psychiatry Physician services 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.

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Practice location Address checks out

413 N Allumbaugh St Ste# 101
Boise, ID 83704-9212 Not confirmed with CMS for 13 years — call before visiting
Phone: (617) 922-4957
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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 number1730528548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abhilash Desai — Medical Director · (617) 922-4957
NPI enumeratedJune 14, 2013
Last updated in NPPESJuly 19, 2013
Mailing address413 N Allumbaugh St, Ste# 101, Boise, ID 83704-9212

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