# DR. MAHESH BANDARA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538145958
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 227154 | MA | — |
| 207R00000X | Internal Medicine Physician | 23390 | NE | — |
| 207RP1001X | Pulmonary Disease Physician | 017725 | ME | Yes |
| 208M00000X | Hospitalist Physician | 017725 | ME | — |

## Other

- **Enumeration date:** 12/17/2005
- **Last updated:** 02/05/2013