Individual
ADAM IDDRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
JOHNS HOPKINS HOSPITAL, 600 N. WOLFE STREET, BLALOCK 658, BALTIMORE, MD 21287-0001
(412) 508-5573
Mailing address
34875 POURROY RD 2504, WINCHESTER, CA 92596-4423
(412) 508-5573
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A171375
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2012
Last updated
09/28/2023
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