MEDICARE: CARLOS A AHUMADA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	TD061083	ME
2	208000000X	Pediatrics Physician	TD061083	ME

General Provider Information

NPI Number	:	1326134297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS A AHUMADA MD

Provider Business Mailing Address
First Line	:	43 PALMER ST
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1305
Country	:	US
Telephone Number	:	207-454-8150
Fax Number	:	207-454-0256

Provider Business Practice Location Address
First Line	:	37 PALMER ST
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1305
Country	:	US
Telephone Number	:	207-454-8195
Fax Number	:	207-454-3840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/11/2025

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Directions to “ CARLOS A AHUMADA MD” Practice Location

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