Letafati, Ataollah

Letafati, Ataollah is an sole proprietor health care provider with primary practice located at 100 Campus Avenue Suite #102 Medical Office Building, Lewiston ME 04240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Letafati, Ataollah can be contacted via phone (207) 777-4080.

Contact Information

Primary practice address
100 Campus Avenue Suite #102 Medical Office Building Lewiston ME 04240
Phone: (207) 777-4080
Fax: (207) 777-8903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8964ME Maine

Profile Details

NPI number 1215962642
LBN Legal business name Letafati, Ataollah
Credentials MD, FACC, FASE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 6th, 2012 - about 13 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 1215962642 NPPES
Maine MEDICAID 108370000

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