Individual
CHARMAINE KAMINI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
042.0013079
VT
2084P0800X
Psychiatry Physician
Primary
MD20939
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024876
—
VT
Enumeration date
06/29/2007
Last updated
05/10/2019
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