Individual provider · NPI-1
Rushika M Conroy, M.D.
Pediatrics, Obesity Medicine · Portland, ME
NPI number1013166974
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1013166974
- Entity type
- Individual (NPI-1)
- Name
- Rushika M Conroy
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2008
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080B0002X | Pediatrics, Obesity Medicine | MD24348 | ME | Yes |
| 2080P0205X | Pediatrics, Pediatric Endocrinology | 2022013907 | MO |
Practice location
41 Donald B Dean Dr Ste APortland, ME 04106-3252
Phone 207-661-6064
Mailing address
41 Donald B Dean Dr Ste APortland, ME 04106-3252
Phone 207-661-6064
Other practice locations
887 Congress St Ste 100
Portland, ME 04102-3100
Portland, ME 04102-3100
Phone 207-662-5522
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