Individual
PRAKASH THAWAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 HARTFORD ST, SUITE 3, HOULTON, ME 04730-1844
(207) 532-0774
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
013984
ME
Other
Enumeration date
12/29/2005
Last updated
07/16/2007
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