Dr. Supriya Khan
Nephrologist
1547 Ne 40th Ave Ste B
Portland
, Oregon 97232-1862
Dr. Supriya Khan
Nephrologist
1547 Ne 40th Ave Ste B
Portland
, Oregon 97232-1862
(800) 272-6512
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Supriya Khan
- 1840 E Ray Rd
- Chandler, AZ
- Zip : 85225-8720
- Fax : (800) 272-6512
- Phone : (855) 397-0197
Second Address
- Dr. Supriya Khan
- 1547 Ne 40th Ave Ste B
- Portland, OR
- Zip : 97232-1862
- Fax : (503) 284-3908
- Phone : (503) 284-1937
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RN0300X | Nephrologist | 54992 | KY |
| Y | 207RN0300X | Nephrologist | MD 28660 | OR |
| N | 207RN0300X | Nephrologist | MD60054413 | WA |
National Provider Identifier
| NPI | 1023190469 |
|---|---|
| Provider Name | Dr. Supriya Khan |
| First Address | Chandler, AZ 85225-8720 |
| Second Address | Portland, OR 97232-1862 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 19/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1090617 | (05) | WA |
| 276227 | (05) | OR |
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.