Provider Demographics
NPI:1609202373
Name:ALMARHOON, MANSOUR SAEED (MD)
Entity Type:Individual
Prefix:
First Name:MANSOUR
Middle Name:SAEED
Last Name:ALMARHOON
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 1:43 WHITING HILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1006
Mailing Address - Country:US
Mailing Address - Phone:207-947-0558
Mailing Address - Fax:
Practice Address - Street 1:43 WHITING HILL RD STE 300
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412
Practice Address - Country:US
Practice Address - Phone:207-947-0558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2018-12-18
Deactivation Date:2014-05-05
Deactivation Code:
Reactivation Date:2015-10-09
Provider Licenses
StateLicense IDTaxonomies
MEMD219292084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty