Dahod, Idris Z

Dahod, Idris Z is an individual health care provider with primary practice located at 123 Summer St , Worcester MA 01608-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Dahod, Idris Z can be contacted via phone (508) 363-7344.

Contact Information

Primary practice address
123 Summer St Worcester MA 01608-1200
Phone: (508) 363-7344
Fax: (508) 363-7345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 156574 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 156574 Massachusetts

Profile Details

NPI number 1265485767
LBN Legal business name Dahod, Idris Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 17th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265485767 NPPES
Massachusetts MEDICAID 3185796

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