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1750652822
POONAM KHADKA
BANGOR, ME
NPI
1750652822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: ME MD20656)
Enumeration Date
2012-01-22
Last Update Date
2022-02-03
Business Address
POONAM KHADKA M.D.
900 BROADWAY
BANGOR, ME 04401-1900
Phone number: 207-907-1187
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Mailing Address
POONAM KHADKA M.D.
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560
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