Ahmad, Idrees
Ahmad, Idrees is an individual health care provider with primary practice located at 187 Millburn Ave , Millburn NJ 07041-1847. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ahmad, Idrees can be contacted via phone (973) 467-1466.Contact Information
Primary practice address
187 Millburn Ave
Millburn NJ 07041-1847
Phone: (973) 467-1466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA04153300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 25MA04153300 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25MA04153300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MA04153300 | New Jersey |
Profile Details
| NPI number | 1164533527 |
|---|---|
| LBN Legal business name | Ahmad, Idrees |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 26th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164533527 | NPPES |
| New Jersey | Other | 430340TZG | MEDICARE |
| New Jersey | MEDICAID | 4969103 | MEDICARE |
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