Individual
AMMARA A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-6676
(207) 973-6196
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23408
ME
Other
Enumeration date
07/18/2017
Last updated
08/13/2020
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