DR. ALI KHAVARI


Address: 55 Broadway, Suite 2, Bangor, ME 04401-5201
Phone: 2079738881

DR. ALI KHAVARI (NPI# 1013913433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013913433
Entity Type Individual
Full Name DR. ALI KHAVARI
Credential M.D.
Practice Address 55 Broadway
Suite 2
Bangor
ME 04401-5201
Mailing Address 43 Whiting Hill Rd
Brewer
ME 04412-1005
Practice Telephone 2079738881
Practice Fax Number 2079475368
Mailing Telephone 2079738881
Mailing Fax Number 2079738880
Enumeration Date 2005-06-21
Last Update Date 2014-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 009535 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 110720099 05

Other Providers ALI KHAVARI

NPI Name Taxonomy Address Enumeration
1043836778 Ali Khavari Student in an Organized Health Care Education/Training Program 450 30th St Ste 2860, Oakland, CA 94609-3302 2020-06-18

Office Location

Street Address 55 BROADWAY
SUITE 2
City BANGOR
State ME
Zip Code 04401-5201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588140347 Brandy Eldridge Physician Assistant 55 Broadway, Bangor, ME 04401-5201 2018-07-16
1710354238 Lisa Dawn Smith Nurse Practitioner 55 Broadway, Suite #2, Bangor, ME 04401-5201 2015-09-01
1437542156 Joyce Marie Remeschatis Registered Nurse 55 Broadway, Suite 2, Bangor, ME 04401-5201 2015-03-05
1881034049 John M Schnell Nurse Practitioner 55 Broadway, Bangor, ME 04401-5201 2013-07-02
1194058552 Mary Kay Deighan Registered Nurse 55 Broadway, Bangor, ME 04401-5201 2009-09-16
1790823714 Jennifer R Sinclair Counselor 55 Broadway, Bangor, PA 18013-2665 2007-02-02
1154406528 Michael Thomas Bauer Chiropractor 55 Broadway, Bangor, PA 18013-1706 2006-10-26
1033294418 Bangor Chiropractic, Inc. Chiropractor 55 Broadway, Bangor, PA 18013-1706 2006-10-26
1346337151 David A Branch Specialist 55 Broadway, Bangor, ME 04401-5201 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
Find all providers in zip 04401

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063640555 Curtis P. Ross Urology 55 Broadway Ste 2, Bangor, ME 04401-5201 2009-06-23
1659534782 Jonas Gricius Urology 55 Broadway Fl 2, Bangor, ME 04401-5201 2008-07-09
1902403132 Catlin Flynn Urology 55 Broadway Ste 2, Bangor, ME 04401-5201 2020-10-01
1639453954 Surapaneni Ramanadharao Mdpa Urology 358 Broadway, Suite 207, Bangor, ME 04401-3929 2011-10-05
1346205457 Maine Urology Associates P.a. Urology 336 Mount Hope Ave, Suite 1, Bangor, ME 04401-4236 2006-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942614979 Marc Calabrese Urology 21 Donald B Dean Dr Ste 1, South Portland, ME 04106-3234 2014-06-18
1144507948 Andrew Percy Iverson,md II Urology 11 Staples Point Rd, Freeport, ME 04032-6003 2011-11-08
1790928570 Evan J Dunn Urology 287 Main St Ste 404, Lewiston, ME 04240-7056 2009-04-09
1639260847 Derrick S Tooth Urology 1053 Western Ave, Manchester, ME 04351-3403 2006-09-27
1093806200 Joseph Flannery Lopes Urology 9 Pleasant Street, Suite 2, Oakland, ME 04963 2006-09-27
1720013204 John Russell Urology 22 Hartford St # Sr, Houlton, ME 04730-1844 2006-07-12
1649226655 Moritz H Hansen Urology 100 Brickhill Avenue, South Portland, ME 04106 2006-05-25
1285692392 James W Ross Urology 85 Baribeau Drive, Brunswick, ME 04011 2006-05-01
1124080445 Elizabeth A Albertson Urology 3 Glen Cove Dr # 3, Rockport, ME 04856-4232 2006-04-03
1679541346 Che T Ho Urology 128 Sweden St, Caribou, ME 04736-2163 2006-03-09
Find all providers with the same taxonomy

Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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