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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215962642 | NPPES |
| Maine | MEDICAID | 108370000 |
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