Individual
NANANDA F COL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4745
(207) 662-3110
Mailing address
39 FOREST AVE, MAINE MEDICAL CENTER, PORTLAND, ME 04110
(207) 662-4745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017686
ME
207R00000X
Internal Medicine Physician
MD11540
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056965
—
RI
Enumeration date
05/20/2006
Last updated
10/20/2009
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