IndividualActive
Ganesha Santhyadka, MD
NPI 1063443752 · Pulmonary Disease Physician · Bangor, ME
Provider details
- NPI number
- 1063443752
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD17150 (ME)
Practice location
360 Broadway
Bangor, ME 04401-3979
Phone: (207) 907-1155
Fax: (207) 907-1888
Mailing address
C/O St Marys Health System - Provider Enrollment
Lewiston, ME 04243-7291
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.