MEDICARE: SAMEER IDREES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	350955	LA

General Provider Information

NPI Number	:	1649126152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMEER IDREES PA

Provider Business Mailing Address
First Line	:	16070 DOCTORS BLVD
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-1478
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16070 DOCTORS BLVD
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-1478
Country	:	US
Telephone Number	:	985-345-7246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ SAMEER IDREES PA” Practice Location

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