Provider Demographics
NPI:1952540247
Name:RAHBAR-SEMNANI, REZA (MD)
Entity type:Individual
Prefix:DR
First Name:REZA
Middle Name:
Last Name:RAHBAR-SEMNANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:REZA
Other - Middle Name:
Other - Last Name:RAHBAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4 GLEN COVE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4235
Mailing Address - Country:US
Mailing Address - Phone:207-301-5790
Mailing Address - Fax:207-301-5310
Practice Address - Street 1:4 GLEN COVE DR STE 10
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4235
Practice Address - Country:US
Practice Address - Phone:207-301-5790
Practice Address - Fax:207-301-5310
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00980208600000X, 208C00000X
MEMD21421208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery