NPI 1487068698 · live from the CMS NPI Registry
Mina Assadollahzadeh, DO
Family Medicine in Lewiston, ME. National Provider Identifier 1487068698, active.
NPI record
| NPI | 1487068698 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 15 Mollison Way, Lewiston, ME 04240 |
| Practice phone | 207-777-4440 |
| Mailing address | Po Box 1638, Albany, NY 12201 |
| Enumerated | June 16, 2014 |
| Last updated | October 26, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | DO2756 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.