Active NPIIndividual provider

Dr. Trustin R Ennacheril, MD

Internal Medicine, Critical Care Medicine in Kittery, Maine

NPI Number1043274509
Practice location
98 Route 236 Ste 2, Kittery, ME 03904-5527
Fax
207-703-2780
Last updated
November 2, 2020

Trustin Roy Ennacheril is an Internal Medicine, Critical Care Medicine based in Kittery, ME. Trustin Roy Ennacheril practices in Kittery, ME and has the professional credentials of MD. The NPI Number for Trustin Roy Ennacheril is 1043274509 and holds a License No. 19720 (ME). The current practice location address for Trustin Roy Ennacheril is 98 Route 236 Ste 2, Kittery, ME 03904-5527 and can be reached out via phone at 207-438-8124 and via fax at 207-703-2780.

Provider Profile Details

NPI Number
1043274509
Provider Name
Trustin Roy Ennacheril
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
98 Route 236 Ste 2, Kittery, ME 03904-5527
Phone Number
207-438-8124
Fax Number
207-703-2780
Primary Taxonomy
Internal Medicine, Critical Care Medicine · 207RC0200X
Sole Proprietor
No
Provider Enumeration Date
April 13, 2006
Last Update Date
November 2, 2020
Certification Date
November 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
98 Route 236 Ste 2
Kittery, ME 03904-5527
State
Maine
Zip
03904-5527
Phone Number
207-438-8124
Fax Number
207-703-2780
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
98 Route 236 Ste 2
Kittery, ME 03904-5527
City
Kittery
State
ME
Zip
03904-5527
Phone Number
207-438-8124
Fax Number
207-703-2780

License Information

License Number (1)
19720
License State (1)
ME
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
19720
License State (2)
ME
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X
License Number (3)
19720
License State (3)
ME
Taxonomy (3)
Internal Medicine, Sleep Medicine · 207RS0012X
License Number (4)
19720
License State (4)
ME
Taxonomy (4)
Internal Medicine, Critical Care Medicine · 207RC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Trustin R Ennacheril, MD?

The NPI number of Dr. Trustin R Ennacheril, MD is 1043274509. It was assigned on April 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Trustin R Ennacheril, MD?

Dr. Trustin R Ennacheril, MD is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X), licensed in ME under license number 19720.

Where does Dr. Trustin R Ennacheril, MD practice?

The practice location is 98 Route 236 Ste 2, Kittery, ME 03904-5527. The office can be reached at 207-438-8124 (phone) or 207-703-2780 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043274509 directly on the NPPES registry website.

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