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Individual

ANEEQA IDREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3430 WORTHINGTON BLVD, FREDERICK, MD 21704
(240) 215-6900
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D086107
MD
207Q00000X
Family Medicine Physician
D86107
MD
207Q00000X
Family Medicine Physician
R3803
KY

Other

Enumeration date
06/19/2015
Last updated
01/23/2019
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