-- SHAISTA KHANUM -- MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1932212230- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 15 E CHESTNUT ST, AUGUSTA, ME, 043305736
- Phone
- (207) 626-1561
- Fax
- (207) 626-1849
Specialties & Taxonomies
Family Medicine
Primary License: ME #EC061112