Provider Demographics
NPI:1447012554
Name:AHMED-ALI, ARARSAME
Entity type:Individual
Prefix:
First Name:ARARSAME
Middle Name:
Last Name:AHMED-ALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 WELLESLEY ESTS
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-1170
Mailing Address - Country:US
Mailing Address - Phone:617-233-6668
Mailing Address - Fax:
Practice Address - Street 1:64 WELLESLEY ESTS
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1170
Practice Address - Country:US
Practice Address - Phone:617-233-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant