Search › Maryland › 163WH0200X
Adewale Idris
NPI 1477232510 · on the registry since 2023
Practice
- Address
- 7103 Aquinas Ave
Upper Marlboro, MD 20772 - Phone
- (301) 732-2413
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 171M00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland