Active NPIIndividual provider

Dr. Mahdieh Bodaghi, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Bangor, Maine

NPI Number1689965048
Practice location
268 Stillwater Ave, Bangor, ME 04401-3945
Fax
—
Last updated
May 15, 2019

Mahdieh Bodaghi is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Bangor, ME. Mahdieh Bodaghi practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Mahdieh Bodaghi is 1689965048 and holds a License No. TD131101 (ME). The current practice location address for Mahdieh Bodaghi is 268 Stillwater Ave, Bangor, ME 04401-3945 and can be reached out via phone at 207-973-6100.

Provider Profile Details

NPI Number
1689965048
Provider Name
Mahdieh Bodaghi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
268 Stillwater Ave, Bangor, ME 04401-3945
Phone Number
207-973-6100
Sole Proprietor
No
Provider Enumeration Date
April 20, 2011
Last Update Date
May 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
268 Stillwater Ave
Bangor, ME 04401-3945
City
Bangor
State
Maine
Zip
04401-3945
Phone Number
207-973-6100
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
268 Stillwater Ave
Bangor, ME 04401-3945
City
Bangor
State
ME
Zip
04401-3945
Phone Number
207-973-6100

License Information

License Number (1)
TD131101
License State (1)
ME
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
A121883
License State (2)
CA
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (3)
A121883
License State (3)
CA
License Number (4)
Q4039
License State (4)
TX
License Number (5)
TD131101
License State (5)
ME
Taxonomy (5)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · 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 Dr. Mahdieh Bodaghi, MD?

The NPI number of Dr. Mahdieh Bodaghi, MD is 1689965048. It was assigned on April 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Mahdieh Bodaghi, MD?

Dr. Mahdieh Bodaghi, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in ME under license number TD131101.

Where does Dr. Mahdieh Bodaghi, MD practice?

The practice location is 268 Stillwater Ave, Bangor, ME 04401-3945. The office can be reached at 207-973-6100 (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 1689965048 directly on the NPPES registry website.

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