Individual
DR. KINNA THAKARAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
50 FODEN RD, STE 3, SOUTH PORTLAND, ME 04106-1718
(207) 774-5816
(207) 523-8594
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 523-3649
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
DO2498
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
DO2498
ME
Other
Enumeration date
06/16/2008
Last updated
03/27/2025
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