Active NPIIndividual providerSole proprietor

Mr. Patron N Bazoza, MD

Psychologist, Intellectual & Developmental Disabilities in South Portland, Maine

NPI Number1285408138
Practice location
586 Westbrook St, South Portland, ME 04106-1400
Fax
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Last updated
November 10, 2023

Patron Nkurunziza Bazoza is a Psychologist, Intellectual & Developmental Disabilities based in South Portland, ME. Patron Nkurunziza Bazoza practices in South Portland, ME and has the professional credentials of MD. The NPI Number for Patron Nkurunziza Bazoza is 1285408138. The current practice location address for Patron Nkurunziza Bazoza is 586 Westbrook St, South Portland, ME 04106-1400 and can be reached out via phone at 325-518-5324.

Provider Profile Details

NPI Number
1285408138
Provider Name
Patron Nkurunziza Bazoza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
586 Westbrook St, South Portland, ME 04106-1400
Phone Number
325-518-5324
Sole Proprietor
Yes
Other Names
Mr. Gedeon Ngabire Bazoza, MD (Former Name)
Provider Enumeration Date
November 10, 2023
Last Update Date
November 10, 2023
Certification Date
November 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
586 Westbrook St
South Portland, ME 04106-1400
State
Maine
Zip
04106-1400
Phone Number
325-518-5324
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
586 Westbrook St Unit 407
South Portland, ME 04106-1405
City
South Portland
State
ME
Zip
04106-1405
Phone Number
325-518-5324

License Information

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 Mr. Patron N Bazoza, MD?

The NPI number of Mr. Patron N Bazoza, MD is 1285408138. It was assigned on November 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Patron N Bazoza, MD?

Mr. Patron N Bazoza, MD is registered under the primary taxonomy Psychologist, Intellectual & Developmental Disabilities (code 103TM1800X).

Where does Mr. Patron N Bazoza, MD practice?

The practice location is 586 Westbrook St, South Portland, ME 04106-1400. The office can be reached at 325-518-5324 (phone).

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 1285408138 directly on the NPPES registry website.

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