Individual
DR. MAHESH BANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 HEALTHCARE DR, SUITE 209, BIDDEFORD, ME 04005-9449
(207) 283-6408
(207) 286-1327
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 286-1327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227154
MA
207R00000X
Internal Medicine Physician
23390
NE
207RP1001X
Pulmonary Disease Physician
Primary
017725
ME
208M00000X
Hospitalist Physician
017725
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30208315
—
NH
05
—
433555299
—
ME
Enumeration date
12/17/2005
Last updated
02/05/2013
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