Individual
IDRIS Z DAHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1200
(508) 363-7344
(508) 363-7345
Mailing address
27 BRIDLE PATH, SHREWSBURY, MA 01545-1564
(508) 479-4441
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
156574
MA
208D00000X
General Practice Physician
156574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3185796
—
MA
Enumeration date
05/18/2006
Last updated
06/05/2025
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