Search › Michigan › 207RC0001X
Shadi Idris, MD
NPI 1891919312 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1722 Shaffer St Ste 1
Kalamazoo, MI 49048 - Phone
- (269) 381-3963
- Fax
- (269) 381-1403
- Organisation at this address
- Promed Healthcare
Premier Cardiology Pc
Premier Medical Care Pc
Spectrum Health Primary Care PartnersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 6320 N La Cholla Blvd Ste 300, Tucson, AZ
Registry record
- Primary taxonomy
- 207RC0001X
207RC0001X
- Also registered as
- 207RC0000X
207RC0000X
207RC0001X - Licence states on file
- AZ, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-08
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 Michigan