- Practice location
- 887 Congress St, Suite 320, Portland, ME 04102
- Phone
- 207-662-5522
- Fax
- 207-662-5527
- Last updated
- January 4, 2011
Michael A Dedekian is a Pediatrics, Pediatric Endocrinology based in Portland, ME. Michael A Dedekian practices in Portland, ME and has the professional credentials of MD. The NPI Number for Michael A Dedekian is 1093781254 and holds a License No. 224852 (MA). The current practice location address for Michael A Dedekian is 887 Congress St, Suite 320, Portland, ME 04102 and can be reached out via phone at 207-662-5522 and via fax at 207-662-5527.
Provider Profile Details
- NPI Number
- 1093781254
- Provider Name
- Michael A Dedekian
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 887 Congress St, Suite 320, Portland, ME 04102
- Phone Number
- 207-662-5522
- Fax Number
- 207-662-5527
- Primary Taxonomy
- Pediatrics, Pediatric Endocrinology · 2080P0205X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 27, 2006
- Last Update Date
- January 4, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 887 Congress St
Suite 320
Portland, ME 04102 - City
- Portland
- State
- Maine
- Zip
- 04102
- Phone Number
- 207-662-5522
- Fax Number
- 207-662-5527
Provider Business Mailing Address Details
- Address
- 301 US Route 1
Building C
Scarborough, ME 04074-7609 - City
- Scarborough
- State
- ME
- Zip
- 04074-7609
- Phone Number
- 207-396-8600
- Fax Number
- 207-396-8632
License Information
- License Number (1)
- 224852
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 017981
- License State (2)
- ME
- Taxonomy (2)
- Pediatrics, Pediatric Endocrinology · 2080P0205X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Endocrinology providers near Portland, ME
View all Pediatrics, Pediatric Endocrinology providers in Portland →Frequently Asked Questions
What is the NPI number of Dr. Michael A Dedekian, MD?
The NPI number of Dr. Michael A Dedekian, MD is 1093781254. It was assigned on February 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael A Dedekian, MD?
Dr. Michael A Dedekian, MD is registered under the primary taxonomy Pediatrics, Pediatric Endocrinology (code 2080P0205X), licensed in MA under license number 224852.
Where does Dr. Michael A Dedekian, MD practice?
The practice location is 887 Congress St, Suite 320, Portland, ME 04102. The office can be reached at 207-662-5522 (phone) or 207-662-5527 (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 1093781254 directly on the NPPES registry website.