Abdolghader Molavi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD024597E Issued in PA

Practice address

19 Grason Lane
Bar Harbor, ME 04609

Phone

(207) 669-4966

NPI assigned

Apr 1, 2009

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2019.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1659513992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GRASON LANE",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "04609",
            "telephone_number": "207-669-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GRASON LANE",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "04609",
            "telephone_number": "207-669-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAVI",
        "first_name": "ABDOLGHADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD024597E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD024597E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Eve Owen McCullough, MD
• Tara McKernan, ME.D, LCPC-C
• David B McQuade, M.D.
• Mdi Dental Arts, P.C.
• Robert P Miller, RPH
• Mount Desert Island Hospital
• Mount Desert Island Regional School Distrct
• Mount Desert Island YMCA
• Movement Med, LLC
• Katherine Mroz, PHARMD

• All providers in Bar Harbor, ME
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.