National Provider Identifier Database

KURT S EBRAHIM, DO – NPI #1386615201
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

KURT S EBRAHIM, DO
2 INDEPENDENCE DR
KENNEBUNK, ME04043-6078
Phone: 207-303-3300
Fax: 207-250-2144
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Medical Oncology 207RX0202X

* Indicates primary specialty

NPI Profile & details for KURT S EBRAHIM

NPI Number 1386615201
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/30/2006
Last updated 03/30/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • ME License #: 1271
  • ME Medicaid: 224040099
  • ME Other: 5470239 AETNA
  • ME Other: 1041691 AETNA HMO
  • ME Other: 018305 ANTHEM BLUE SHIELD
  • ME Other: 4778555 CIGNA
  • ME Other: 1271 MAINE LICENSE
  • ME Other: 30200551 NH MEDICAID
  • ME Other: 900001630 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KURT S EBRAHIM, DO

There are currently no reviews for KURT S EBRAHIM, DO


NPIdb - Home
v2.201