Individual
SYENA SARRAFPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD24608
ME
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD24608
ME
207R00000X
Internal Medicine Physician
267321
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831548577
—
ME
Enumeration date
06/03/2016
Last updated
06/29/2021
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