Individual provider · Type 1 NPI
Syed Ali Shan Idris, M.D.; MBBS
Neurology Physician · Columbus, OH
NPI number
1942317060
Active
Practice location
5965 Easy Broad Street, Suite 260
Columbus, OH 43213
Fax (614) 866-6109
Mailing address
5965 E Broad St Ste 260
Columbus, OH 43213-1562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 35087057 (OH) |
| Pediatrics Physician | 208000000X | 35087057 (OH) |
| Neurology Physician Primary | 2084N0400X | 35.087057 (OH) |
| Internal Medicine Physician | 207R00000X | 35.087057 (OH) |
| Pediatrics Physician | 208000000X | 35.087057 (OH) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1942317060
Syed Ali Shan Idris, M.D.; MBBS's National Provider Identifier is 1942317060, issued on Aug 24, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Columbus, OH. The record was last updated on Sep 8, 2014.