Active NPIIndividual provider

Dr. Ganesha Santhyadka, MD

Internal Medicine, Pulmonary Disease in Bangor, Maine

NPI Number1063443752
Practice location
360 Broadway, Bangor, ME 04401-3979
Fax
207-907-1888
Last updated
February 3, 2022

Ganesha Santhyadka is an Internal Medicine, Pulmonary Disease based in Bangor, ME. Ganesha Santhyadka practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Ganesha Santhyadka is 1063443752 and holds a License No. MD17150 (ME). The current practice location address for Ganesha Santhyadka is 360 Broadway, Bangor, ME 04401-3979 and can be reached out via phone at 207-907-1155 and via fax at 207-907-1888.

Provider Profile Details

NPI Number
1063443752
Provider Name
Ganesha Santhyadka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
360 Broadway, Bangor, ME 04401-3979
Phone Number
207-907-1155
Fax Number
207-907-1888
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2006
Last Update Date
February 3, 2022
Certification Date
February 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Broadway
Bangor, ME 04401-3979
City
Bangor
State
Maine
Zip
04401-3979
Phone Number
207-907-1155
Fax Number
207-907-1888
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
C/O St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04243-7291
City
Lewiston
State
ME
Zip
04243-7291
Phone Number
207-777-8560
Fax Number
207-777-8800

License Information

License Number (1)
MD17150
License State (1)
ME
License Number (2)
MD17150
License State (2)
ME
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine, Pulmonary Disease providers near Bangor, ME

View all Internal Medicine, Pulmonary Disease providers in Bangor →

Frequently Asked Questions

What is the NPI number of Dr. Ganesha Santhyadka, MD?

The NPI number of Dr. Ganesha Santhyadka, MD is 1063443752. It was assigned on July 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ganesha Santhyadka, MD?

Dr. Ganesha Santhyadka, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in ME under license number MD17150.

Where does Dr. Ganesha Santhyadka, MD practice?

The practice location is 360 Broadway, Bangor, ME 04401-3979. The office can be reached at 207-907-1155 (phone) or 207-907-1888 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063443752 directly on the NPPES registry website.

Browse related providers