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EVGENY IDRISOV MD NPI 1689061830


NPI Information

NPI: 1689061830
Provider Name: EVGENY IDRISOV, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
1700 S TAMIAMI TRL
SARASOTA, FL
ZIP 34239
Phone: (941) 917-4896
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Evgeny Idrisov, MD is a gastroenterology internal medicine in Sarasota, FL with 9 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Evgeny Idrisov, MD NPI is 1689061830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1700 S TAMIAMI TRL
SARASOTA, FL
ZIP 34239
Phone: (941) 917-4896
Fax: (941) 917-6884

The NPI 1689061830 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2015 and was last updated on 7/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME131245FLORIDANo
2207RG0100XInternal MedicineGastroenterologyME131245FLORIDANo
3207RG0100XInternal MedicineGastroenterologyPENDINGOKLAHOMAYes
4207R00000XInternal MedicineTRN21341FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.