Provider Demographics
NPI:1316040538
Name:KNAUFT, M. ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:M.
Middle Name:ELIZABETH
Last Name:KNAUFT
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 FODEN ROAD
Mailing Address - Street 2:WEST BUILDING SUITE 103
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106
Mailing Address - Country:US
Mailing Address - Phone:207-828-1122
Mailing Address - Fax:207-828-0188
Practice Address - Street 1:100 FODEN ROAD
Practice Address - Street 2:WEST BUILDING SUITE 103
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-828-1122
Practice Address - Fax:207-828-0188
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2019-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME015230207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEH79451Medicare UPIN