Idries, Shaheen I

Idries, Shaheen I is an individual health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Idries, Shaheen I can be contacted via phone (714) 532-7601.

Contact Information

Primary practice address
455 S Main St Orange CA 92868-3835
Phone: (714) 532-7601
Fax: (714) 532-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X A50795 California

Profile Details

NPI number 1194812263
LBN Legal business name Idries, Shaheen I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194812263 NPPES
California MEDICAID A50795

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