Provider Demographics
NPI:1255489845
Name:SANAL, SHIRIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:
Last Name:SANAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIRIN
Other - Middle Name:
Other - Last Name:MARAKAYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:975 SERENO DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2441
Mailing Address - Country:US
Mailing Address - Phone:207-777-4111
Mailing Address - Fax:207-783-6660
Practice Address - Street 1:99 CAMPUS AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6045
Practice Address - Country:US
Practice Address - Phone:207-777-4320
Practice Address - Fax:207-777-4331
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME017257207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease