Koppula, Sandhya V

Koppula, Sandhya V is an sole proprietor health care provider with primary practice located at 17200 Nw Corridor Court Suite 112, Beaverton OR 97006-3295. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Koppula, Sandhya V can be contacted via phone (503) 439-6969.

Contact Information

Primary practice address
17200 Nw Corridor Court Suite 112 Beaverton OR 97006-3295
Phone: (503) 439-6969
Fax: (503) 439-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD18825 Oregon

Profile Details

NPI number 1962487231
LBN Legal business name Koppula, Sandhya V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Nov 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962487231 NPPES
Washington MEDICAID 8180424
Washington MEDICAID 075544

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