NPI 1295313484 · live from the CMS NPI Registry
Spandana Lavanya Daryani
Dermatology in Portland, OR. National Provider Identifier 1295313484, active.
NPI record
| NPI | 1295313484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3303 S Bond Ave, Portland, OR 97239 |
| Practice phone | 503-418-3376 |
| Enumerated | March 30, 2021 |
| Last updated | October 15, 2026 |
| Sole proprietor | Yes |
| Other names | Spandana Maddukuri |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD225768 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.