Individual
DR. MOHAMMED IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST STE K3502, BUFFALO, NY 14203-1009
(716) 323-6584
Mailing address
1001 MAIN ST STE K3502, BUFFALO, NY 14203-1009
(716) 323-6584
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
313831
NY
207L00000X
Anesthesiology Physician
4301506127
MI
Other
Enumeration date
07/08/2017
Last updated
02/05/2023
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