Individual
ZAIN MOUSA AREF ALSHANABLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 CONGRESS ST STE B, PORTLAND, ME 04102-2148
(207) 774-5222
Mailing address
1600 CONGRESS ST STE B, PORTLAND, ME 04102-2148
(207) 774-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.248342
OH
207RN0300X
Nephrology Physician
Primary
MD27593
ME
390200000X
Student in an Organized Health Care Education/Training Program
MT224937
PA
Other
Enumeration date
08/11/2019
Last updated
07/16/2024
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