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NPI Code Detail

MEDICARE: RAMI WAKED MD

MEDICARE: RAMI WAKED 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
1207RI0200XInfectious Disease Physician111628GA
2207R00000XInternal Medicine Physician111628GA
3390200000XStudent in an Organized Health Care Education/Training ProgramEC201040ME

General Provider Information

NPI Number : 1790393023
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMI WAKED MD
Provider Business Mailing Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-815-0625
Fax Number :
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-815-0625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2020
Last Update Date : 06/05/2026

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Directions to “ RAMI WAKED MD” Practice Location

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