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Shaista Khanum, MD
Family Medicine Physician in Augusta, Maine
NPI 1932212230

Shaista Khanum is a Family Medicine Physician based in Gardiner, ME. Shaista Khanum practices in Augusta, ME and has the professional credentials of MD. The NPI Number for Shaista Khanum is 1932212230 and holds a License No. EC061112 (Maine).

The current practice location address for Shaista Khanum is 15 E Chestnut St, Augusta, ME and can be reached out via phone at 207-626-1561 and via fax at 207-626-1849.

Location: 15 E Chestnut St, Augusta, ME, 04345-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932212230
Provider Name
Shaista Khanum
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15 E Chestnut St, Augusta, ME, 04345-2615
Phone Number
207-626-1561
Fax Number
207-626-1849
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 ME RESIDENT-NO PROV #
institution
Provider Business Practice Location Address Details
Address
15 E Chestnut St
City
Augusta
State
Maine
Zip
04330-5736
Phone Number
207-626-1561
Fax Number
207-626-1849
person
Provider Business Mailing Address Details
Address
15 E Chestnut St
City
Augusta
State
Maine
Zip
04330-5736
Phone Number
207-626-1561
Fax Number
207-626-1849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
EC061112 (Maine)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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