Abdul-Latif Armiyaw, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, ME

NPI 1235932245 · NPPES record last updated Mar 27, 2025

Key facts

NPI
1235932245
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-0111
NPI assigned
Mar 27, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250915001011 ME Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
3577066539

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other names

  • Latif Armiyaw Other name

Other providers in Portland, ME

All providers in Portland, ME · Student in an Organized Health Care Education/Training Program in Maine

Sources for this page

Verify at the official NPI Registry.