Active NPI
Sirus Hamzavi, MD LLC PA
- Ophthalmology Physician
- Lewiston, ME
National Provider Identifier
1740409424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 016330
- Legal business name
- SIRUS HAMZAVI, MD LLC PA
- Practice address
- 10 High St Ste 304
Lewiston, ME 04240-7640 - Phone
- (207) 795-7517
- NPI assigned
- Apr 24, 2007
- Last updated
- Jan 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sirus Hamzavi, M.D.
- Title
- Doctor
- Phone
- (207) 795-7517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 016330 | ME | Primary |
Addresses
Primary practice location
10 High St Ste 304
Lewiston, ME 04240-7640
Mailing address
10 High St Ste 304
Lewiston, ME 04240-7640
Phone (207) 795-7517
National Provider Directory
National Provider DirectoryLocations
10 High St
Lewiston, ME 04240
Phone (207) 783-2295
10 High St
Ste 304
Lewiston, ME 04240
Phone (207) 777-5300
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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-
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-
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- Vascular Surgery Physician
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- Surgery Physician
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-
- Hematology & Oncology Physician
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- Rheumatology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233273600000",
"number": "1740409424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HIGH ST STE 304",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407640",
"telephone_number": "207-795-7517",
"fax_number": "207-795-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HIGH ST STE 304",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407640",
"telephone_number": "207-795-7517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIRUS HAMZAVI, MD LLC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2009-01-30",
"status": "A",
"authorized_official_last_name": "HAMZAVI",
"authorized_official_first_name": "SIRUS",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "207-795-7517",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ME",
"license": "016330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.