FNU KALEEMULLAH


Address: 489 State St, Bangor, ME 04401-6674
Phone: 2079737314

FNU KALEEMULLAH (NPI# 1003335670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003335670
Entity Type Individual
Full Name FNU KALEEMULLAH
Credential MD
Practice Address 489 State St
Bangor
ME 04401-6674
Mailing Address 43 Whiting Hill Rd
Brewer
ME 04412-1005
Practice Telephone 2079737314
Mailing Telephone 2079735000
Mailing Fax Number 2079735042
Enumeration Date 2017-09-14
Last Update Date 2020-09-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD23403 ME Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
825 Fairfax Ave Ste 410, Norfolk, VA 235071914 7574467934 7574467921

Office Location

Street Address 489 STATE ST
City BANGOR
State ME
Zip Code 04401-6674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790789147 Eastern Maine Medical Center General Acute Care Hospital 489 State St, Bangor, ME 04401-6616 2005-06-13
1356956239 Amanda Roberts Physician Assistant 489 State St, Bangor, ME 04401-6674 2020-09-09
1558983148 Lana Caroline Hoertz Physician Assistant 489 State St, Bangor, ME 04401-6616 2020-05-18
1427696954 Kelsey A Mcgrath Nurse Anesthetist, Certified Registered 489 State St, Bangor, ME 04401-6616 2019-12-16
1528629888 Jaclyn Young Nurse Anesthetist, Certified Registered 489 State St, Bangor, ME 04401-6616 2019-06-26
1568928018 Emily Bohm Physician Assistant 489 State St, Bangor, ME 04401-6616 2019-02-20
1144786971 Andrew Hopkins Physician Assistant 489 State St, Bangor, ME 04401-6616 2019-02-18
1750847083 Daniel Patrick Conway Physician Assistant 489 State St, Bangor, ME 04401-6616 2019-02-12
1306317847 Matthew Daniel Kent Nurse Anesthetist, Certified Registered 489 State St, Bangor, ME 04401-6616 2018-12-10
1750869061 Brian Marsh Nurse Practitioner 489 State St, Bangor, ME 04401 2018-07-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
Find all providers in zip 04401

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629598941 Sunam M Sujanani Internal Medicine 489 State Street Kelley 6, Bangor, ME 04401 2017-06-27
1881802957 Leonidas Tzogias Internal Medicine One Northeast Dr, Northeast Cardiology Associates, Bangor, ME 04401 2007-05-20
1053324293 Carolyn Alice Wilson Internal Medicine 304 Hancock St, Bangor Va Clinic, Bangor, ME 04401 2006-08-15
1629025093 Robert Francis Mcevoy Internal Medicine 125 S 1st St, Bangor, PA 18013-2615 2006-05-30
1528023702 David Mason Hallbert Internal Medicine 302 Husson Ave, Suite 1, Bangor, ME 04401-3374 2006-04-19
1770564585 Meredith L Todd Internal Medicine 900 Broadway Bldg 5, Bangor, ME 04401-1900 2005-11-09
1104819598 Hans Albert Holzwarth Internal Medicine 336 Mount Hope Ave, Ste 11, Bangor, ME 04401-4236 2005-08-31
1083607253 James J Nakashima Internal Medicine 900 Broadway, Bangor, ME 04401-1900 2005-08-23
1730732264 Kymberly Susan Hunter Internal Medicine 302 Husson Ave Ste 1, Bangor, ME 04401-3373 2019-07-23
1215451984 Aye Su Myat Hlaing Internal Medicine 489 State St, Bangor, ME 04401-6616 2017-08-03
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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