Mohammad Idrees Md, P.A.

LBN: Mohammad Idrees Md, P.A.
Mohammad Idrees Md, P.A. is an health care organization with primary practice located at 1454 Belaire Lane N.E. , Palm Bay FL 32905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Mohammad Idrees Md, P.A. can be contacted via phone (321) 723-2121, or through Tedder, Amber Lee via phone (321) 723-2121.

Contact Information

Primary practice address
1454 Belaire Lane N.E. Palm Bay FL 32905
Phone: (321) 723-2121
Fax: (321) 723-7478
Website:
Map and Directions
Authorized official contact:
Name: Tedder, Amber Lee
Phone: (321) 723-2121

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME22385 Florida

Profile Details

NPI number 1326308313
LBN Legal business name Mohammad Idrees Md, P.A.
DBA Doing business as
Authorized official Tedder, Amber Lee
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2012
Last updated May 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326308313 NPPES
Florida MEDICAID #054484100

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