DR. D.O. Kurt S Ebrahim, NPI 1386615201
Hematology & Oncology Physician in Kennebunk, ME, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386615201 |
| NPI Entity Type | Individual |
| Provider Name | DR. D.O. Kurt S Ebrahim |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2 Independence Dr, Kennebunk, ME, US |
| Provider Mailing Address | Po Box 911, Brattleboro, VT, US, 053020911 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| License No. | 1271 |
| License State | ME |
| Description | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 1271 | ME | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1041691 | ME | AETNA HMO | 01 |
| 30200551 | ME | NH MEDICAID | 01 |
| 1271 | ME | MAINE LICENSE | 01 |
| 224040099 | ME | MEDICAID | 05 |
| 018305 | ME | ANTHEM BLUE SHIELD | 01 |
| 4778555 | ME | CIGNA | 01 |
| 5470239 | ME | AETNA | 01 |
| 900001630 | ME | RR MEDICARE | 01 |
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|---|---|---|---|
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FNP-C Catherine Rasco-robinson Individual |
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LCPC-C Patricia Marie Mclain Individual |
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RDH Rebecca Lynn Hanscom Individual |
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Autumn Marie Walsh Individual |
2 Lehner Rd |
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COTA/L Madeline Conrad Smith Individual |
170 Route 1 Ste 100 |
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DR. M.D. Rene Adonis Seegobin Individual |
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Patrick Fahey Individual |
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Kathryn Goffin Individual |
123 Andover Rd |
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DO Rachel Coffey Individual |
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DO Rebecca Patterson Individual |
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Jason Mudge Individual |
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Hospice Of Maine, Llc Organization |
824 Stillwater Ave Ste B |
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Great Bay Services Organization |
61 Washington St Ste 4 |
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Affinity Care Of Maine Llc Organization |
600 Southborough Dr Ste 103 |
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Antonio Home Care Llc Organization |
70 Webster St |
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