Individual
ASHISH KHANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 482-7800
(207) 482-7898
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(072) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD28207
ME
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/25/2019
Last updated
11/18/2024
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