Maria Michailidou, MD
Individual provider Active NPI Surgery Physician · Bangor, ME
NPI 1275813578 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1275813578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD22251 (ME)
- Practice address
- 417 State St Ste 330
Bangor, ME 04401 - Phone
- (207) 973-8881
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22251 | ME | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD22251 | ME | Yes |
Addresses
Primary practice location
417 State St Ste 330
Bangor, ME 04401
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-7000
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 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.