Individual
DR. PETER G KACHAVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 282-3349
Mailing address
4 ELLIOT WAY, SUITE 102, MANCHESTER, NH 03103-3551
(603) 626-5900
(603) 625-2180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8057
NH
207R00000X
Internal Medicine Physician
Primary
MD23660
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102689YPNH01
ANTHEM NH
—
Enumeration date
05/12/2006
Last updated
02/02/2020
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