Ebrahim, Kurt S

Ebrahim, Kurt S is an individual health care provider with primary practice located at 2 Independence Dr , Kennebunk ME 04043-6078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ebrahim, Kurt S can be contacted via phone (207) 303-3300.

Contact Information

Primary practice address
2 Independence Dr Kennebunk ME 04043-6078
Phone: (207) 303-3300
Fax: (207) 250-2144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1271 Maine
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 1271 Maine

Profile Details

NPI number 1386615201
LBN Legal business name Ebrahim, Kurt S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 30th, 2021 - about 4 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 1386615201 NPPES
Maine Other 1041691 AETNA HMO
Maine Other 30200551 AETNA HMO
Maine Other 1271 AETNA HMO
Maine MEDICAID 224040099 AETNA HMO
Maine Other 018305 AETNA HMO
Maine Other 4778555 AETNA HMO
Maine Other 5470239 AETNA HMO
Maine Other 900001630 AETNA HMO

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