OrganizationActive
Imad Idriss MD PA
NPI 1083879217 · Gastroenterology Physician · Las Cruces, NM
Provider details
- NPI number
- 1083879217
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Imad Idriss, President(575) 522-1059
- License
- 78-41 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2427 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone: (575) 522-1059
Fax: (575) 522-3652
Approximate (ZIP-level) locationGet directions
Mailing address
2427 S Telshor Blvd
Las Cruces, NM 88011-5049
Registry dates
- Enumerated
- 2008-07-28
- Last updated
- 2008-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.