| Dr Ali Khavari, MD | |
|
55 Broadway, Suite 2, Bangor, ME 04401-5201 | |
| (207) 973-8881 | |
| (207) 947-5368 |
| Full Name | Dr Ali Khavari |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 55 Broadway, Bangor, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013913433 | NPI | - | NPPES |
| 110720099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 009535 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ali Khavari, MD 43 Whiting Hill Rd, Brewer, ME 04412-1005 Ph: (207) 973-8881 | Dr Ali Khavari, MD 55 Broadway, Suite 2, Bangor, ME 04401-5201 Ph: (207) 973-8881 |
Curtis P. Ross, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 55 Broadway Ste 2, Bangor, ME 04401 Phone: 207-947-0469 Fax: 207-947-5368 | |
Brendan Wallace, MD Urology Medicare: Medicare Enrolled Practice Location: 55 Broadway, Bangor, ME 04401 Phone: 207-947-0469 | |
Dr. Jonas Gricius, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 55 Broadway Fl 2, Bangor, ME 04401 Phone: 207-947-0469 Fax: 207-947-5368 |