Individual
MOHAMAD NIDAL AL-OTAIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 HEALTHCARE DR STE 105, BIDDEFORD, ME 04005-9445
(207) 282-3666
(207) 294-3552
Mailing address
17 CHAMARD WAY UNIT 17, WESTBROOK, ME 04092-3860
(507) 339-1140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD27596
ME
207R00000X
Internal Medicine Physician
MT215733
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD27596
ME
Other
Enumeration date
06/09/2018
Last updated
12/09/2024
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