Active NPIIndividual providerSole proprietor

Bobak Ahouraie, PA

Physician Assistant in Sanford, Maine

NPI Number1245000819
Practice location
25 June St, Sanford, ME 04073-2621
Fax
207-490-7002
Last updated
February 10, 2025

Bobak Ahouraie is a Physician Assistant based in Sanford, ME. Bobak Ahouraie practices in Sanford, ME and has the professional credentials of PA. The NPI Number for Bobak Ahouraie is 1245000819 and holds a License No. PA2640 (ME). The current practice location address for Bobak Ahouraie is 25 June St, Sanford, ME 04073-2621 and can be reached out via phone at 207-490-7000 and via fax at 207-490-7002.

Provider Profile Details

NPI Number
1245000819
Provider Name
Bobak Ahouraie
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
25 June St, Sanford, ME 04073-2621
Phone Number
207-490-7000
Fax Number
207-490-7002
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 4, 2024
Last Update Date
February 10, 2025
Certification Date
February 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 June St
Sanford, ME 04073-2621
State
Maine
Zip
04073-2621
Phone Number
207-490-7000
Fax Number
207-490-7002
Sanford, ME 04073Get directions →

Provider Business Mailing Address Details

Address
25 June St
Sanford, ME 04073-2621
City
Sanford
State
ME
Zip
04073-2621
Phone Number
207-490-7000
Fax Number
207-490-7002

License Information

License Number
PA2640
License State
ME
Taxonomy
Physician Assistant · 363A00000X · 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 Bobak Ahouraie, PA?

The NPI number of Bobak Ahouraie, PA is 1245000819. It was assigned on January 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Bobak Ahouraie, PA?

Bobak Ahouraie, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2640.

Where does Bobak Ahouraie, PA practice?

The practice location is 25 June St, Sanford, ME 04073-2621. The office can be reached at 207-490-7000 (phone) or 207-490-7002 (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 1245000819 directly on the NPPES registry website.

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