Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | D0051239 | MD |
N | 207RX0202X | Medical Oncology | 133954 | CA |
Y | 207RX0202X | Medical Oncology | MD197646 | OR |
NPI | 1053612341 |
---|---|
Provider Name | Dr. Shivaani Kummar |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2010 |
Last Update Date | 20/07/2020 |