Individual
ISRA IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(571) 484-2860
Mailing address
3800 WOODWARD AVE APT 306, DETROIT, MI 48201-1978
(571) 484-2860
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356966691
NPI
NY
01
—
691977830
LEARNER PERMIT
NY
Enumeration date
12/14/2022
Last updated
07/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us