Healthcare Provider Details

I. General information

NPI: 1043870710
Provider Name (Legal Business Name): ASHISH SAINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 US ROUTE 1 STE C
SCARBOROUGH ME
04074-7174
US

IV. Provider business mailing address

71 US ROUTE 1 STE C
SCARBOROUGH ME
04074-7174
US

V. Phone/Fax

Practice location:
  • Phone: 207-883-5532
  • Fax: 207-883-5552
Mailing address:
  • Phone: 207-883-5532
  • Fax: 207-883-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD30479
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD30479
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: