Active NPIIndividual provider

Mohamad N Al-Otaibi

Internal Medicine, Cardiovascular Disease in Biddeford, Maine

NPI Number1528551058
Practice location
9 Healthcare Dr Ste 105, Biddeford, ME 04005-9445
Fax
207-294-3552
Last updated
December 9, 2024

Mohamad Nidal Al-Otaibi is an Internal Medicine, Cardiovascular Disease based in Biddeford, ME. Mohamad Nidal Al-Otaibi practices in Biddeford, ME. The NPI Number for Mohamad Nidal Al-Otaibi is 1528551058 and holds a License No. MT215733 (PA). The current practice location address for Mohamad Nidal Al-Otaibi is 9 Healthcare Dr Ste 105, Biddeford, ME 04005-9445 and can be reached out via phone at 207-282-3666 and via fax at 207-294-3552.

Provider Profile Details

NPI Number
1528551058
Provider Name
Mohamad Nidal Al-Otaibi
Provider Entity Type
Individual
Gender
Male
Address
9 Healthcare Dr Ste 105, Biddeford, ME 04005-9445
Phone Number
207-282-3666
Fax Number
207-294-3552
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2018
Last Update Date
December 9, 2024
Certification Date
December 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Healthcare Dr Ste 105
Biddeford, ME 04005-9445
State
Maine
Zip
04005-9445
Phone Number
207-282-3666
Fax Number
207-294-3552
Biddeford, ME 04005Get directions →

Provider Business Mailing Address Details

Address
17 Chamard Way Unit 17
Westbrook, ME 04092-3860
City
Westbrook
State
ME
Zip
04092-3860
Phone Number
507-339-1140

License Information

License Number (1)
MT215733
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
MD27596
License State (2)
ME
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
MD27596
License State (3)
ME
Taxonomy (3)
Internal Medicine, Cardiovascular Disease · 207RC0000X · 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 Mohamad N Al-Otaibi?

The NPI number of Mohamad N Al-Otaibi is 1528551058. It was assigned on June 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Mohamad N Al-Otaibi?

Mohamad N Al-Otaibi is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in PA under license number MT215733.

Where does Mohamad N Al-Otaibi practice?

The practice location is 9 Healthcare Dr Ste 105, Biddeford, ME 04005-9445. The office can be reached at 207-282-3666 (phone) or 207-294-3552 (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 1528551058 directly on the NPPES registry website.

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