Shahla Walizada, DO

NPI 1205272986 · on the registry since 2013 · sole proprietor

Practice

Address: 2141 E Parkcenter Blvd
Samg Bhp Family Medicine
Boise, ID 83706
Phone: (208) 302-5000
Fax: (208) 302-5025
Organisation at this address: St Alphonsus Regional Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho