Reedada S Idriss in Rochester - Emergency Medicine
Reedada S Idriss - NPI 1629280995
Reedada S Idriss is a Emergency Medicine in Rochester, Minnesota. Reedada S Idriss practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Reedada S Idriss is 1629280995. The last update date is 2009-06-02.
Reedada S Idriss's current location address is 5120 Duvall Pl Nw, Rochester, Minnesota. You can contact this provider via phone number 5072871831. The mailing address for Reedada S Idriss is 5120 Duvall Pl Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reedada S Idriss |
|---|---|
| Address | 5120 Duvall Pl Nw, Rochester, Minnesota |
| Phone Number | 5072871831 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629280995 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2009-06-02 |
Provider Mailing Address Detail
| Address | 5120 Duvall Pl Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559013821 |
| Phone Number | 5072871831 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 49753 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 297122100 | MN | -- | |
| 35174100 | WI | -- | |
| ENROLLED | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Reedada S Idriss by the Centers for Medicare & Medicaid Services (CMS)?
The Reedada S Idriss has been assigned the NPI (National Provider Identifier) 1629280995. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Reedada S Idriss?
The Reedada S Idriss is physically situated at 5120 Duvall Pl Nw, in the city of Rochester, state of MN, with the postal code 559013821.
What is the Reedada S Idriss's specialty and taxonomy code?
The Reedada S Idriss's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
On what date did the Reedada S Idriss receive the assignment of its 1629280995 from the Centers for Medicare & Medicaid Services?
The Reedada S Idriss was issued its 1629280995 by the Centers for Medicare & Medicaid Services on 2007-05-07.
As of what date was the information regarding Reedada S Idriss, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Reedada S Idriss, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-06-02.