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Individual
DR. SHADI IDRIS
Active
Individual
DR. SHADI IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301085994
MI
207RC0000X
Cardiovascular Disease Physician
54455
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301085994
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
54455
AZ
Other
Enumeration date
04/13/2007
Last updated
05/08/2026
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