Kishan Bhakta
Student in an Organized Health Care Education/Training Program in Bangor, ME. Individual provider (NPI-1).
NPI number1689154015
StatusActive
Last updated in NPPESAug 15, 2018
Details
- NPI
- 1689154015
- Entity type
- Individual (NPI-1)
- Name
- Kishan Bhakta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Last updated
- Aug 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | PI45618 | ME | Yes |
Practice location
1 College CirBangor, ME 04401-2929
Phone 207-941-7000
Mailing address
682 Ohio St Apt 13Bangor, ME 04401-3195
Phone 806-494-1037
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All 79 Student in an Organized Health Care Education/Training Program providers in Bangor · All 3,717 providers in Bangor
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