National Provider Identifier
Mohammadomid Edrissian, M.D.
Mohammadomid Edrissian, M.D. is listed in the NPPES registry with a primary specialty of Rheumatology Physician in Rochester, NY and a listed phone number of (585) 922-8350.
Profile Overview
- NPI
- 1699063941
- Provider Type
- Individual
- Primary Specialty
- Rheumatology Physician
- Enumeration Date
- July 20, 2011
- Last Updated
- December 17, 2021
Practice Location
- 222 Alexander St
- Rheumatology
- Rochester, NY 14607-4039
Phone: (585) 922-8350
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Rheumatology Physician (207RR0500X)
- Hospitalist Physician (208M00000X)
- Rheumatology Physician (207RR0500X)
Endpoints
- https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Soap Url | Health Information Exchange (Hie) | Other | The Permanente Medical Group | Sacramento, CA 95823
Carequality
Full Record
- NPI
- 1699063941
- Entity Type
- Individual
- Last Name
- Edrissian
- First Name
- Mohammadomid
- Credential
- M.D.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1469
- Practice Street Address
- 222 Alexander St
- Practice Address Line 2
- Rheumatology
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4039
- Practice Country
- US
- Practice Phone
- (585) 922-8350
- Enumeration Date
- July 20, 2011
- Last Updated
- December 17, 2021
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Rheumatology Physician (207RR0500X), Hospitalist Physician (208M00000X), Rheumatology Physician (207RR0500X)