Zaheib Idrees, D.o., A Professional Medical Corporation | |
415 W Route 66 Ste 202 Glendora CA 91740 | |
(626) 963-4467 | |
Not Available |
Full Name | Zaheib Idrees, D.o., A Professional Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 415 W Route 66 Ste 202, Glendora, California |
Authorized Official Name and Position | Zaheib Idrees (OWNER/PRESIDENT) |
Authorized Official Contact | 6269634467 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zaheib Idrees, D.o., A Professional Medical Corporation Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 464-1165 | Zaheib Idrees, D.o., A Professional Medical Corporation 415 W Route 66 Ste 202 Glendora CA 91740 Ph: (626) 963-4467 |
NPI Number | 1760999163 |
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Provider Enumeration Date | 01/07/2018 |
Last Update Date | 07/27/2023 |
Certification Date | 07/27/2023 |
Medicare PECOS PAC ID | 7911254941 |
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Medicare Enrollment ID | O20180723002710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760999163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 20A13624 (California) | Primary |
Provider Name | Zaheib Idrees |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063837151 PECOS PAC ID: 9032412051 Enrollment ID: I20160126001608 |
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