MEDICARE: DR. REZA RAHBAR-SEMNANI 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	208C00000X	Colon & Rectal Surgery Physician	MD21421	ME
2	208C00000X	Colon & Rectal Surgery Physician	2010-00980	NC
3	208600000X	Surgery Physician	MD21421	ME
4	208600000X	Surgery Physician	2010-00980	NC

General Provider Information

NPI Number	:	1952540247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REZA RAHBAR-SEMNANI MD

Provider Business Mailing Address
First Line	:	4 GLEN COVE DR STE 10
Second Line	:
City	:	ROCKPORT
State	:	ME
Zip	:	04856-4235
Country	:	US
Telephone Number	:	207-301-5790
Fax Number	:	207-301-5310

Provider Business Practice Location Address
First Line	:	4 GLEN COVE DR STE 10
Second Line	:
City	:	ROCKPORT
State	:	ME
Zip	:	04856-4235
Country	:	US
Telephone Number	:	207-301-5790
Fax Number	:	207-301-5310

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

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	04/07/2026

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