NPI 1144510843 · live from the CMS NPI Registry
Punag Divanji, M.D.
Internal Medicine, Cardiovascular Disease in Portland, OR. National Provider Identifier 1144510843, active.
NPI record
| NPI | 1144510843 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-7400 |
| Enumerated | April 14, 2011 |
| Last updated | September 4, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD193114 (OR) |
| Internal Medicine, Interventional Cardiology | 207RI0011X | MD193114 (OR) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD193114 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.