Provider Demographics
NPI:1396759080
Name:DREHER, GEORGE K (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:K
Last Name:DREHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 US ROUTE 1
Mailing Address - Street 2:BUILDING C
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7609
Mailing Address - Country:US
Mailing Address - Phone:207-396-8600
Mailing Address - Fax:207-396-8632
Practice Address - Street 1:272 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3637
Practice Address - Country:US
Practice Address - Phone:207-622-7300
Practice Address - Fax:207-874-1918
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME009617207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME322940099Medicaid
MEBX8378Medicare PIN
ME05634501Medicare PIN
ME260036828Medicare PIN
ME322940099Medicaid
ME056345Medicare PIN