Nima Moghaddas
Primary Podiatric Medicine
37 Palmer St Suite 3
Calais
, Maine 04619-1305
Nima Moghaddas
Primary Podiatric Medicine
37 Palmer St Suite 3
Calais
, Maine 04619-1305
(207) 454-3840
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Nima Moghaddas
- 37 Palmer St Suite 3
- Calais, ME
- Zip : 04619-1305
- Fax : (207) 454-3840
- Phone : (207) 454-8195
Second Address
- Nima Moghaddas
- 37 Palmer St Suite 3
- Calais, ME
- Zip : 04619-1305
- Fax : (207) 454-3840
- Phone : (207) 454-8195
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | POD1001 | ME |
National Provider Identifier
| NPI | 1376625426 |
|---|---|
| Provider Name | Nima Moghaddas |
| First Address | Calais, ME 04619-1305 |
| Second Address | Calais, ME 04619-1305 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 08/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 235700099 | (05) | ME |
| POD1001 | STATE LICENSE (01) | ME |
| U52272 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.