Individual
SHAMANO MINHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 474-3441
Mailing address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 474-3441
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD22665
ME
207Q00000X
Family Medicine Physician
Primary
MD22665
ME
390200000X
Student in an Organized Health Care Education/Training Program
EC161080
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942650809
—
ME
Enumeration date
06/21/2016
Last updated
09/05/2023
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