Syed Ali Shan Idris in Columbus - Internal Medicine

Syed Ali Shan Idris - NPI 1942317060

Syed Ali Shan Idris is a Internal Medicine in Columbus, Ohio. Syed Ali Shan Idris practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Syed Ali Shan Idris is 1942317060. The last update date is 2014-09-08.

Syed Ali Shan Idris's current location address is 5965 E Broad St Ste 260, Columbus, Ohio. You can contact this provider via phone number 6418663703 and fax number 6148666109. The mailing address for Syed Ali Shan Idris is 5965 E Broad St Ste 260, Columbus, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Syed Ali Shan Idris
Address 5965 E Broad St Ste 260, Columbus, Ohio
Phone Number 6418663703
Fax Number 6148666109
Sole Proprietor Y
Credentials M.D.; MBBS

NPI Number Detail

NPI Number 1942317060
Provider Enumeration Date 2006-08-24
Last Updated Date 2014-09-08

Provider Mailing Address Detail

Address 5965 E Broad St Ste 260
City Columbus
State Ohio (OH)
Post Code 432131562
Phone Number 6418663703
Fax Number 6148666109

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35087057
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2697489 OH --
P00352662 OH RAILROAD
494609 OH ANTHEM

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FAQs about Syed Ali Shan Idris

Could you provide the complete physical address where Syed Ali Shan Idris is located?

The Syed Ali Shan Idris is situated at the following address: 5965 E Broad St Ste 260, Columbus, OH, 432131562.

Could you kindly provide the complete physical address where Syed Ali Shan Idris's facilities are geographically located?

The facilities of Syed Ali Shan Idris are physically situated at the following location: 5965 E Broad St Ste 260, Columbus, OH, 432131562.

What is Syed Ali Shan Idris's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Syed Ali Shan Idris is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942317060 to Syed Ali Shan Idris?

The Centers for Medicare & Medicaid Services assigned the 1942317060 to Syed Ali Shan Idris on 2006-08-24.

As of what date was the information regarding Syed Ali Shan Idris, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Syed Ali Shan Idris, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-08.

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