ABDUL RAHMAN QANI (NPI# 1801318654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801318654 |
| Entity Type | Individual |
| Full Name | ABDUL RAHMAN QANI |
| Credential | PA-C |
| Practice Address |
100 Brickhill Ave South Portland ME 04106-1999 |
| Mailing Address |
15 Springbrook Way Portland ME 04103-1056 |
| Practice Telephone | 2077731728 |
| Mailing Telephone | 2074093495 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 BRICKHILL AVE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
| 1689217903 | Natalia Valentinovna Tonseth | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1427691765 | Sarah Melissa Carter | Registered Nurse | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1366989824 | Moira Burke | Dietitian, Registered | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-01-23 |
| 1639622756 | Courtney Myles | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2016-07-25 |
| 1700258779 | Portland Community Health Center | Clinic/Center | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-29 |
| 1255703955 | Christopher Nilsson | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-21 |
| 1790156792 | Deirdre Sulka-meister Fnp LLC | Point of Service | 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 | 2015-10-15 |
| 1417350901 | Melissa N Libby Fnp LLC | Point of Service | 100 Brickhill Ave, Suite 304, South Portland, ME 04106-1999 | 2014-09-29 |
| 1578806832 | Sanchita Bose | Urology | 100 Brickhill Ave, South Portland, ME 04106 | 2013-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
| 1679595433 | John Nowak | Physician Assistant | 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 | 2006-07-24 |
| 1093730350 | Melissa Becker | Physician Assistant | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2006-07-13 |
| 1841228889 | John D Clark | Physician Assistant | 39 Miles St., Damariscotta, ME 04543-0000 | 2006-06-29 |
| 1003867086 | Callie Orae Mcmahon | Physician Assistant | 262 Church Rd, Brunswick, ME 04011-7302 | 2006-05-13 |
| 1154379345 | Marybess Skaletsky | Physician Assistant | 301 Us Route 1, Building C, Scarborough, ME 04074-9701 | 2006-05-04 |
| 1053383547 | Leonard V Sherwood | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on ABDUL RAHMAN QANI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.