Shaista Khanum, MD

NPI #1932212230 in Augusta, Maine

Provider Information

NPI Number: 1932212230
Entity Type: Individual
Name: Shaista Khanum, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15 E CHESTNUT ST
City: Augusta
State: Maine
ZIP Code: 04330-5736
Phone: (207) 626-1561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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