Individual
KRISHNA CHAITANYA ALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 NORTHEAST DR, BANGOR, ME 04401
(412) 525-0280
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD22630
ME
390200000X
Student in an Organized Health Care Education/Training Program
MT204179
PA
Other
Enumeration date
06/08/2013
Last updated
03/02/2021
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