Whalio Doctors

NPI 1013913433

Ali Khavari, MD

Practitioner Urology Physician Bangor, ME

Practice location

Address
55 Broadway Suite 2, Bangor, ME 04401-5201
Phone
(207) 973-8881
Fax
(207) 947-5368
Mailing address
43 Whiting Hill Rd, Brewer, ME 04412-1005

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 009535 (ME)

Registry record

NPI
1013913433
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2005
Record last updated
28 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.