Dr. Srini Vasan Mukundan
Internist Critical Care Medicine Internist - Cardiovascular Disease
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Dr. Srini Vasan Mukundan
Internist Critical Care Medicine Internist - Cardiovascular Disease
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 494-4749
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Dr. Srini Vasan Mukundan
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 494-4749
- Phone : (503) 494-7400
Second Address
- Dr. Srini Vasan Mukundan
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Phone : (503) 494-8211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD171360 | OR |
| N | 111NI0900X | Internist | MD171360 | OR |
| N | 207RC0000X | Internist - Cardiovascular Disease | MD171360 | OR |
| Y | 207RC0200X | Critical Care Medicine | MD171360 | OR |
National Provider Identifier
| NPI | 1033476650 |
|---|---|
| Provider Name | Dr. Srini Vasan Mukundan |
| First Address | Portland, OR 97239-3011 |
| Second Address | Portland, OR 97239-3011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2012 |
| Last Update Date | 18/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.