Imad Idriss Md Pa

LBN: Imad Idriss Md Pa
Imad Idriss Md Pa is an health care organization with primary practice located at 2427 S Telshor Blvd , Las Cruces NM 88011-5049. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Imad Idriss Md Pa can be contacted via phone (575) 522-1059, or through Idriss, Imad via phone (575) 522-1059.

Contact Information

Primary practice address
2427 S Telshor Blvd Las Cruces NM 88011-5049
Phone: (575) 522-1059
Fax: (575) 522-3652
Website:
Map and Directions
Authorized official contact:
Name: Idriss, Imad
Phone: (575) 522-1059

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 78-41 New Mexico

Profile Details

NPI number 1083879217
LBN Legal business name Imad Idriss Md Pa
DBA Doing business as
Authorized official Idriss, Imad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2008
Last updated Jul 28th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083879217 NPPES
New Mexico MEDICAID 02782

Popular Providers