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MAINE NEPHROLOGY ASSOCIATES P.A. NPI 1043424344


NPI Information

NPI: 1043424344
Provider Name: MAINE NEPHROLOGY ASSOCIATES P.A.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 20D0697398

Address:
1600B CONGRESS ST
PORTLAND, ME
ZIP 04102
Phone: (207) 774-5222
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MAINE NEPHROLOGY ASSOCIATES P.A. is a nephrology internal medicine in Portland, ME. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MAINE NEPHROLOGY ASSOCIATES P.A. NPI is 1043424344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600B CONGRESS ST
PORTLAND, ME
ZIP 04102-124
Phone: (207) 774-5222
Fax: (207) 761-4433

The provider's authorized official is Michael C Akom .
The authorized official title is President and has the following contact phone number (207) 774-5222.

The CLIA number assigned to this NPI record is 20D0697398 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 2/9/2018.


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
1207RN0300XInternal MedicineNephrologyMAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1123110000MEDICAIDMAINE

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: 11/14/2023

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