Alexander Babaoghli, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lewiston, ME
NPI 1336724301 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1336724301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 76 High St
Lewiston, ME 04240-7649 - Phone
- (207) 795-2805
- NPI assigned
- Mar 11, 2021
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903003306 | ME | Order and Referring Only - Family Practice |
3779022827 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
76 High St
Lewiston, ME 04240-7649
Mailing address
76 High St
Lewiston, ME 04240-7649
Phone (207) 795-2805
Other providers in Lewiston, ME
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- Ferdus Awali
- Dominique Ayala
- Ayda Home Care LLC
- B&H Support Services LLC
- Megan Jude Bachelder
- David Backholm
- Jeffrey Badillo
- Britney Bagley
- Tonya Dee Bailey-Curry
All providers in Lewiston, ME · Student in an Organized Health Care Education/Training Program in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.