Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mutasim Idriss, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760168157

Mutasim Idriss, MD is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1561 Long Pond Rd Ste 206
Rochester, NY 14626-4135
Phone: (585) 368-4800
Fax: (585) 368-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1555 Long Pond Rd, Rochester, NY 14626-4164 — (585) 723-7746

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1760168157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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