DR. Sandhya V Koppula, MD

NPI #1962487231 in Beaverton, Oregon

Provider Information

NPI Number: 1962487231
Entity Type: Individual
Name: DR. Sandhya V Koppula, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Dec 9, 2005
Last Updated: Nov 3, 2010

Practice Location

Address: 17200 NW CORRIDOR COURT
Address 2: SUITE 112
City: Beaverton
State: Oregon
ZIP Code: 97006-3295
Phone: (503) 439-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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