Individual
DR. MUHAMMAD S IDREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 W MAIN ST, BATAVIA, NY 14020-1347
(585) 599-6446
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
001026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00525878003
BC OF WNY
NY
05
—
02047423
—
NY
01
—
103440DL
PREFERRED CARE
NY
01
—
1210879
INDEPENDENT HEALTH
NY
01
—
P010001026
BLUE CHOICE OF ROCHESTER
NY
01
—
P03001026
BLUE CROSS OF ROCHESTER
NY
Enumeration date
03/01/2006
Last updated
06/14/2024
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