# SIRUS HAMZAVI, MD LLC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740409424
- **Authorized official:** DR. SIRUS HAMZAVI M.D. (DOCTOR)
- **Authorized official phone:** (207) 795-7517

## Contact information

- **Practice address:** 10 HIGH ST STE 304, LEWISTON, ME 04240-7640
- **Practice address phone:** (207) 795-7517
- **Mailing address:** 10 HIGH ST STE 304, LEWISTON, ME 04240-7640
- **Mailing address phone:** (207) 795-7517
- **Mailing address fax:** (207) 795-7523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 016330 | ME | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 01/30/2009