Individual
AHMAD ABED ELNOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
891 W MAIN ST, 500, DOVER FOXCROFT, ME 04426-1059
(207) 564-4466
(207) 564-4468
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-4466
(207) 564-1283
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD19368
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003309001
MEDICARE PTAN
—
01
—
P01258441
RR MEDICARE
—
Enumeration date
10/29/2010
Last updated
12/23/2020
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