Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abd Assalam Qannus, MD

Individual provider Nephrology Physician · NPI 1184133746

Abd Assalam Qannus, MD is a Nephrology in Portland, Maine. Qualified in 2006, 20 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
20
Licensed in
ME
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 Bramhall St Rm 5219
Portland, ME 04102-3134
Phone: (207) 662-7872
Fax: (207) 662-6306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence EC171095 (ME)

Record details

NPI number1184133746
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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