Individual
NIMA MOGHADDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
37 PALMER ST, SUITE 3, CALAIS, ME 04619-1305
(207) 454-8195
(207) 454-3840
Mailing address
37 PALMER ST, SUITE 3, CALAIS, ME 04619-1305
(207) 454-8195
(207) 454-3840
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD1001
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235700099
—
ME
01
—
POD1001
STATE LICENSE
ME
Enumeration date
10/19/2006
Last updated
08/27/2025
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