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

Rosellen Provost Shahidi, MD

Individual provider Internal Medicine Physician · NPI 1457054926

Rosellen Provost Shahidi, MD is an Internal Medicine in Portland, Maine. Graduated from Virginia Commonwealth University, School of Medicine in 2023, 3 years ago. Works from 2 locations. Licensed in Maine.

Years since qualifying
3
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
ME
In the registry since
2023
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
Portland, ME 04102-3134
Phone: (207) 662-2911
Fax: (207) 662-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Harnois Ave Ste 1b, Westbrook, ME 04092-4395 — (207) 662-1340

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD30125 (ME)

Record details

NPI number1457054926
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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