Sanjiv M Panwala, MD
Internal Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1023047321
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1023047321
- Entity type
- Individual (NPI-1)
- Name
- Sanjiv M Panwala
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2006
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD00032898 | WA | Yes |
| 207R00000X | Internal Medicine | MD22303 | OR |
Practice location
9205 Sw Barnes Rd Fl 1Portland, OR 97225-6603
Phone 503-216-2906 · Fax 503-216-4114
Mailing address
Po Box 2077Portland, OR 97208-2077
Phone 503-413-3900 · Fax 503-413-3710
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