SHAISTA KHANUM

AUGUSTA, ME
NPI1932212230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  EC061112)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- SHAISTA KHANUM MD
15 E CHESTNUT ST
AUGUSTA, ME 04330-5736
Phone number: 207-626-1561
Mailing Address
-- SHAISTA KHANUM MD
150 DRESDEN AVE
GARDINER, ME 04345-2615
Phone number: 207-621-9337
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