Individual provider · Type 1 NPI

Raghu Nandan Kanumalla, DO

Family Medicine Physician · Bangor, ME

NPI number 1497313696 Active

Practice location

689 Broadway
Bangor, ME 04401-3366

Call (207) 744-8424 Map

Fax (207) 744-8425

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XDO3417 (ME)

Family Medicine Physician: 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.

5 other providers at this address

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About NPI 1497313696

Raghu Nandan Kanumalla, DO's National Provider Identifier is 1497313696, issued on Jun 3, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bangor, ME. The record was last updated on Oct 2, 2026.