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Individual

MAHA Y GHOSN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
489 STATE ST, BANGOR, ME 04401-6616
(646) 226-6999
Mailing address
7259 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047-4860
(646) 226-6999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14194
NH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101261197
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
042-0011684
VT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2009-01160
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
246406
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
28300
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00048406
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD2010-0764
NM
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD22791
ME

Other

Enumeration date
06/14/2007
Last updated
12/29/2023
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