Mohammad Idris, M.D.

NPI #1407086200 in Van Buren, Arkansas

Provider Information

NPI Number: 1407086200
Entity Type: Individual
Name: Mohammad Idris, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 15, 2009
Last Updated: Sep 13, 2012

Practice Location

Address: 14 GOTHIC RIDGE RD
City: Van Buren
State: Arkansas
ZIP Code: 72956-6565
Phone: (479) 471-0011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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