Fichadia, Hetal Kumudchandra
Fichadia, Hetal Kumudchandra is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 532 , Portland OR 97225-6632. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Fichadia, Hetal Kumudchandra can be contacted via phone (503) 488-2344.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 532
Portland OR 97225-6632
Phone: (503) 488-2344
Fax: (503) 488-2360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD170906 | Oregon |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD170906 | Oregon |
Profile Details
| NPI number | 1245406784 |
|---|---|
| LBN Legal business name | Fichadia, Hetal Kumudchandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Nov 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245406784 | NPPES |
| Washington | MEDICAID | 2026298 | |
| Washington | MEDICAID | 500654757 |
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