Idrees, Mohammad
Idrees, Mohammad is an sole proprietor health care provider with primary practice located at 1454 Bellaire Ln , Palm Bay FL 32905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Idrees, Mohammad can be contacted via phone (321) 723-2121.Contact Information
Primary practice address
1454 Bellaire Ln
Palm Bay FL 32905
Phone: (321) 723-2121
Fax: (321) 541-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME22385 | Florida |
Profile Details
| NPI number | 1285649905 |
|---|---|
| LBN Legal business name | Idrees, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Sep 20th, 2013 - about 11 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285649905 | NPPES |
| Florida | MEDICAID | 0544841 |
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