Individual
REEDADA S IDRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7000
Mailing address
5120 DUVALL PL NW, ROCHESTER, MN 55901-3821
(507) 287-1831
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
047400
CT
207P00000X
Emergency Medicine Physician
49753
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297122100
—
MN
05
—
35174100
—
WI
05
—
ENROLLED
—
IA
Enumeration date
05/07/2007
Last updated
06/02/2009
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