Individual
DR. RUSLAN ABDUKALIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO3378
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18131694793
—
ME
Enumeration date
03/23/2018
Last updated
06/21/2022
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