Individual
RIMA KANHOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 STATE ST STE 439, BANGOR, ME 04401-6635
(207) 941-8200
(207) 990-4848
Mailing address
417 STATE ST, SUITE 439, BANGOR, ME 04401-6635
(207) 941-8200
(207) 990-4848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD20212
ME
207ZC0500X
Cytopathology Physician
MD20212
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD20212
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD20212
MEDICAL DOCTOR LICENSE
ME
Enumeration date
10/28/2015
Last updated
12/19/2023
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