- Practice location
- 331 Veranda St, Portland, ME 04103-5545
- Phone
- 207-828-2402
- Fax
- 207-828-2425
- Last updated
- October 14, 2021
Andrew Phan is a Family Medicine based in Portland, ME. Andrew Phan practices in Portland, ME and has the professional credentials of MD. The NPI Number for Andrew Phan is 1619918307 and holds a License No. MD16339 (ME). The current practice location address for Andrew Phan is 331 Veranda St, Portland, ME 04103-5545 and can be reached out via phone at 207-828-2402 and via fax at 207-828-2425.
Provider Profile Details
- NPI Number
- 1619918307
- Provider Name
- Andrew Phan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 331 Veranda St, Portland, ME 04103-5545
- Phone Number
- 207-828-2402
- Fax Number
- 207-828-2425
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2006
- Last Update Date
- October 14, 2021
- Certification Date
- October 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 331 Veranda St
Portland, ME 04103-5545 - City
- Portland
- State
- Maine
- Zip
- 04103-5545
- Phone Number
- 207-828-2402
- Fax Number
- 207-828-2425
Provider Business Mailing Address Details
- Address
- Po Box 9746
Portland, ME 04104-5040 - City
- Portland
- State
- ME
- Zip
- 04104-5040
- Phone Number
- 207-791-3888
- Fax Number
- 207-828-7850
License Information
- License Number (1)
- MD16339
- License State (1)
- ME
- Taxonomy (1)
- Family Medicine, Sports Medicine · 207QS0010X
- License Number (2)
- MD16339
- License State (2)
- ME
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Andrew Phan, MD?
The NPI number of Andrew Phan, MD is 1619918307. It was assigned on June 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Andrew Phan, MD?
Andrew Phan, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number MD16339.
Where does Andrew Phan, MD practice?
The practice location is 331 Veranda St, Portland, ME 04103-5545. The office can be reached at 207-828-2402 (phone) or 207-828-2425 (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 1619918307 directly on the NPPES registry website.