Individual
MRS. GHANAVI KUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Mailing address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD29135
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2018
Last updated
06/30/2025
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