Healthcare Provider Details

I. General information

NPI: 1952736969
Provider Name (Legal Business Name): KAREEM IDREES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1949 LINCOLN WAY
WHITE OAK PA
15131-2401
US

IV. Provider business mailing address

121 7TH ST APT 305
PITTSBURGH PA
15222-3414
US

V. Phone/Fax

Practice location:
  • Phone: 412-672-6800
  • Fax:
Mailing address:
  • Phone: 412-916-3418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number85191
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD459181
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0075049
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: