Douglas Mai
Individual provider Active NPI Diagnostic Radiology Physician · New Town, ND
NPI 1124511415 · NPPES record last updated Jun 11, 2018
Key facts
- NPI
- 1124511415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 935 (ND)
- Practice address
- 1058 College Dr
New Town, ND 58763-9112 - Phone
- (701) 627-7681
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 935 | ND | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 935 | ND | Yes |
Addresses
Primary practice location
1058 College Dr
New Town, ND 58763-9112
Mailing address
1058 College Dr
New Town, ND 58763-9112
Other providers in New Town, ND
- Feather Lee
- Joann K Lee
- Kelcey Rae Lee
- Nicole Mura Lichter
- Allison Lovcik
- Shasta Mandan
- Wayne H Marmon
- Anita Louise Martin
- Roselle Martin
- Monica Mayer
All providers in New Town, ND · Diagnostic Radiology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.