NPI 1083879217

Imad Idriss MD PA

Organisation Gastroenterology Physician Las Cruces, NM

Practice location

Address: 2427 S Telshor Blvd, Las Cruces, NM 88011-5049
Phone: (575) 522-1059
Fax: (575) 522-3652

Authorised official

Name: Imad Idriss
Title: President
Phone: (575) 522-1059

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence 78-41 (NM)

Other Internal Medicine providers in New Mexico →

Registry record

NPI: 1083879217
Entity type: Organization
NPI issued: 28 Jul 2008
Record last updated: 28 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.