Provider Demographics
NPI:1497721849
Name:ALDILAIMI, AHMED A (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:A
Last Name:ALDILAIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4974
Mailing Address - Country:US
Mailing Address - Phone:207-872-1270
Mailing Address - Fax:207-872-1831
Practice Address - Street 1:149 NORTH ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4974
Practice Address - Country:US
Practice Address - Phone:207-872-1000
Practice Address - Fax:207-873-4514
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD17008208M00000X
ME017008208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEP00472759OtherRAILROAD MEDICARE
ME432093999Medicaid
MEP00472759OtherRAILROAD MEDICARE
MEME185701Medicare PIN