Imad Idriss Md Pa in Las Cruces - Gastroenterology
Imad Idriss Md Pa - NPI 1083879217
Imad Idriss Md Pa is a Gastroenterology in Las Cruces, New Mexico. Imad Idriss Md Pa practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Imad Idriss Md Pa is 1083879217. The last update date is 2008-07-28.
Imad Idriss Md Pa's current location address is 2427 S Telshor Blvd, Las Cruces, New Mexico. You can contact this provider via phone number 5755221059 and fax number 5755223652. The mailing address for Imad Idriss Md Pa is 2427 S Telshor Blvd, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imad Idriss Md Pa |
|---|---|
| Address | 2427 S Telshor Blvd, Las Cruces, New Mexico |
| Phone Number | 5755221059 |
| Fax Number | 5755223652 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Idriss Imad |
| Telephone Number | 5755221059 |
NPI Number Detail
| NPI Number | 1083879217 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | 2427 S Telshor Blvd |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880115049 |
| Phone Number | 5755221059 |
| Fax Number | 5755223652 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 78-41 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2782 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Imad Idriss Md Pa by the Centers for Medicare & Medicaid Services?
The Imad Idriss Md Pa has been assigned the NPI (National Provider Identifier) 1083879217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Imad Idriss Md Pa's facilities are situated?
The facilities of Imad Idriss Md Pa are physically located at the following address: 2427 S Telshor Blvd, Las Cruces, NM, 880115049.
What is Imad Idriss Md Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Imad Idriss Md Pa's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.
On what date did Imad Idriss Md Pa receive its 1083879217 assignment from the Centers for Medicare & Medicaid Services?
The Imad Idriss Md Pa was assigned its 1083879217 on 2008-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Imad Idriss Md Pa's information last updated?
The Imad Idriss Md Pa's information was last updated on 2008-07-28.