Ahmed Idrees

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

5901 Holabird Ave
Baltimore, MD 21224-6015

Phone

(410) 387-6794

NPI assigned

Aug 9, 2022

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2022.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1821726795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 HEBRON TER",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092064",
            "telephone_number": "410-916-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HOLABIRD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246015",
            "telephone_number": "410-387-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDREES",
        "first_name": "AHMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Pain Management, LLC
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• Ideal Wellness LLC
• Kyana Monique Idi, PA-C
• Jeffrey Stephen Iding, M.D.
• Cynthia Lynn Idzik-Starr, D.D.S.
• Shannon K Idzik, CRNP
• Genevieve Ifeanyichukwu, NP
• Iflp Lives LLC
• Elvine Zita Ndongmo Ifoue, RN

• All providers in Baltimore, MD
• Contractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.