| Dr Sandhya V Koppula, MD | |
|
17200 Nw Corridor Court, Suite 112, Beaverton, OR 97006-3295 | |
| (503) 439-6969 | |
| (503) 439-6868 |
| Full Name | Dr Sandhya V Koppula |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 17200 Nw Corridor Court, Beaverton, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962487231 | NPI | - | NPPES |
| 8180424 | Medicaid | WA | |
| 075544 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD18825 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandhya V Koppula, MD 17200 Nw Corridor Court, Suite 112, Beaverton, OR 97006-3295 Ph: (503) 439-6969 | Dr Sandhya V Koppula, MD 17200 Nw Corridor Court, Suite 112, Beaverton, OR 97006-3295 Ph: (503) 439-6969 |
Dr. Eric Hunter Kilber, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-380-7418 | |
Ms. Mary Lyons, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4855 | |
Janelle Marie Rohrback, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 Fax: 503-643-7459 |