Basic Information
| Provider Information | |||||||||
| NPI: | 1780996009 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARYAL | ||||||||
| FirstName: | SHUBEKCHHA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 43 WHITING HILL RD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | BREWER | ||||||||
| State: | ME | ||||||||
| PostalCode: | 044121005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2079735035 | ||||||||
| FaxNumber: | 2079735042 | ||||||||
| Practice Location | |||||||||
| Address1: | 84 KELLEY RD | ||||||||
| Address2: | |||||||||
| City: | ORONO | ||||||||
| State: | ME | ||||||||
| PostalCode: | 044733416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078664399 | ||||||||
| FaxNumber: | 2078664538 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2010 | ||||||||
| LastUpdateDate: | 12/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | TRL11623 | ND | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD19676 | ME | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.