Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ali I Jardaneh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073177325

Dr. Ali I Jardaneh, MD is an Urology in Augusta, Maine. Qualified in 2019, 7 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
Specialties on file
2
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

442 Civic Center Dr
Augusta, ME 04330-8572
Phone: (207) 622-6319
Fax: (207) 622-6654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Clarkson Ave Dept Urology, Brooklyn, NY 11203-2012 — (718) 270-2554

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD28166 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073177325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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