Khavari, Ali

Khavari, Ali is an individual health care provider with primary practice located at 55 Broadway Suite 2, Bangor ME 04401-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Khavari, Ali can be contacted via phone (207) 973-8881.

Contact Information

Primary practice address
55 Broadway Suite 2 Bangor ME 04401-5201
Phone: (207) 973-8881
Fax: (207) 947-5368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 009535 Maine

Profile Details

NPI number 1013913433
LBN Legal business name Khavari, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013913433 NPPES
Maine MEDICAID 110720099

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