DR. SANDHYA V KOPPULA


Address: 17200 Nw Corridor Court, Suite 112, Beaverton, OR 97006-3295
Phone: 5034396969

DR. SANDHYA V KOPPULA (NPI# 1962487231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962487231
Entity Type Individual
Full Name DR. SANDHYA V KOPPULA
Credential MD
Practice Address 17200 Nw Corridor Court
Suite 112
Beaverton
OR 97006-3295
Practice Telephone 5034396969
Practice Fax Number 5034396868
Mailing Telephone 5034396969
Mailing Fax Number 5034396868
Enumeration Date 2005-12-09
Last Update Date 2010-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD18825 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 075544 05
WA 8180424 05

Office Location

Street Address 17200 NW CORRIDOR COURT
SUITE 112
City BEAVERTON
State OR
Zip Code 97006-3295

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1265979173 Lindsay Jensen Massage Therapist 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 2017-01-30
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225370927 Alan Barry Lachman Dermatology 2630 Nw 144th Ave, Suite #100, Beaverton, OR 97006-5470 2013-03-20
1235472473 Keith Curtis Olsen Dermatology 4855 Sw Western Ave, Kaiser Permanente Dermatology, Beaverton, OR 97005-3460 2013-04-05
1922232255 Amanda J Pickert Dermatology 15950 Sw Millikan Way, Beaverton, OR 97003-5170 2009-05-14
1336352087 Eric Hunter Kilber Dermatology 4855 Sw Western Ave, Beaverton, OR 97005-3460 2007-05-08
1659593481 Mary Lyons Dermatology 4855 Sw Western Ave, Beaverton, OR 97005-3460 2007-05-02
1699868489 Janelle Marie Rohrback Dermatology 15950 Sw Millikan Way, Beaverton, OR 97006 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891327185 Clear Choice Dermatology Dermatology 1815 E 15th St Ste B, The Dalles, OR 97058-3309 2020-02-05
1508303561 Carter Kroeplin Haag Dermatology 3303 S Bond Ave # 16d, Portland, OR 97239-4501 2017-01-27
1043765134 Noelle Teske Dermatology 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 2016-08-18
1134579535 Caroline Morris Dermatology 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 2016-06-16
1902260425 Sarah Baca Dermatology 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 2016-04-11
1194110288 Betty Si Yuan Jiang Dermatology 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 2015-04-06
1033539184 Natasha Fewkes Carter Dermatology 4914 Sw 1st Ave, Portland, OR 97239-2883 2014-04-16
1538588504 Elizabeth Berry Dermatology Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 2014-04-07
1851712038 Charles Raymond Hahn Dermatology 187 Sw Eastman Pkwy, Ste. #72, Gresham, OR 97080-7002 2013-12-14
1417207283 Karla S Pivik Dermatology 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 2012-09-19
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Competitor

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City BEAVERTON
Zip Code 97006

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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