Active NPIIndividual providerSole proprietor

Shulamith C Bonham, MD

Internal Medicine in Portland, Maine

NPI Number1659568673
Practice location
180 Park Ave Ste 1, Portland, ME 04102-2927
Fax
—
Last updated
April 27, 2025

Shulamith C Bonham is an Internal Medicine based in Portland, ME. Shulamith C Bonham practices in Portland, ME and has the professional credentials of MD. The NPI Number for Shulamith C Bonham is 1659568673 and holds a License No. 49489 (MN). The current practice location address for Shulamith C Bonham is 180 Park Ave Ste 1, Portland, ME 04102-2927 and can be reached out via phone at 207-874-2141.

Provider Profile Details

NPI Number
1659568673
Provider Name
Shulamith C Bonham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
180 Park Ave Ste 1, Portland, ME 04102-2927
Phone Number
207-874-2141
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2007
Last Update Date
April 27, 2025
Certification Date
April 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Park Ave Ste 1
Portland, ME 04102-2927
State
Maine
Zip
04102-2927
Phone Number
207-874-2141
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
180 Park Ave
Portland, ME 04102-2957
City
Portland
State
ME
Zip
04102-2957
Phone Number
207-874-2141

License Information

License Number (1)
49489
License State (1)
MN
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
018586
License State (2)
ME
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
018586
License State (3)
ME
Taxonomy (3)
Internal Medicine · 207R00000X · 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 Shulamith C Bonham, MD?

The NPI number of Shulamith C Bonham, MD is 1659568673. It was assigned on October 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Shulamith C Bonham, MD?

Shulamith C Bonham, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MN under license number 49489.

Where does Shulamith C Bonham, MD practice?

The practice location is 180 Park Ave Ste 1, Portland, ME 04102-2927. The office can be reached at 207-874-2141 (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 1659568673 directly on the NPPES registry website.

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