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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962487231 | NPPES |
| Washington | MEDICAID | 8180424 | |
| Washington | MEDICAID | 075544 |
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