Healthcare Provider Details

I. General information

NPI: 1841794591
Provider Name (Legal Business Name): CHRISTOPHER ANH KHOA VO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 DONALD B DEAN DR STE B
SOUTH PORTLAND ME
04106-3252
US

IV. Provider business mailing address

41 DONALD B DEAN DR STE B
SOUTH PORTLAND ME
04106-3252
US

V. Phone/Fax

Practice location:
  • Phone: 207-661-7901
  • Fax: 207-661-7902
Mailing address:
  • Phone: 207-661-7901
  • Fax: 207-661-7902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number309387
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD30313
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: