person
Isra Idris
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1124730874

Isra Idris is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Isra Idris practices in Detroit, MI. The NPI Number for Isra Idris is 1124730874 and holds a License No. (Michigan).

The current practice location address for Isra Idris is 3901 Beaubien St, Detroit, MI and can be reached out via phone at 571-484-2860.

Location: 3901 Beaubien St, Detroit, MI, 48201-1978
person
Provider Profile Details
NPI Number
1124730874
Provider Name
Isra Idris
Credential
Provider Entity Type
Individual
Gender
Female
Address
3901 Beaubien St, Detroit, MI, 48201-1978
Phone Number
571-484-2860
Fax Number
Provider Enumeration Date
12/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356966691 01 NY NPI
691977830 01 NY LEARNER PERMIT
institution
Provider Business Practice Location Address Details
Address
3901 Beaubien St
City
State
Zip
48201-2119
Phone Number
571-484-2860
Fax Number
person
Provider Business Mailing Address Details
Address
3901 Beaubien St
City
State
Zip
48201-2119
Phone Number
571-484-2860
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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