Individual
SYED ALI SHAN IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.; MBBS
Contact information
Practice address
5965 EASY BROAD STREET, SUITE 260, COLUMBUS, OH 43213
(641) 866-3703
(614) 866-6109
Mailing address
5965 E BROAD ST STE 260, COLUMBUS, OH 43213-1562
(641) 866-3703
(614) 866-6109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.087057
OH
207R00000X
Internal Medicine Physician
35087057
OH
208000000X
Pediatrics Physician
35.087057
OH
208000000X
Pediatrics Physician
35087057
OH
2084N0400X
Neurology Physician
Primary
35.087057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494609
ANTHEM
OH
05
—
2697489
—
OH
01
—
P00352662
RAILROAD
OH
Enumeration date
08/24/2006
Last updated
09/08/2014
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