Spandana Lavanya Daryani
Dermatology in Portland, OR. Individual provider (NPI-1).
NPI number1295313484
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1295313484
- Entity type
- Individual (NPI-1)
- Name
- Spandana Lavanya Daryani
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2021
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD225768 | OR | Yes |
Other names
- Spandana Maddukuri (Former Name)
Practice location
3303 S Bond AvePortland, OR 97239-4501
Phone 503-418-3376
Mailing address
3303 S Bond AvePortland, OR 97239-4501
Phone 503-418-3376
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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