Reddy, Pulla Raghuram
Reddy, Pulla Raghuram is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Reddy, Pulla Raghuram can be contacted via phone (503) 494-7400.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-7400
Fax: (503) 494-4749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD26229 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD26229 | Oregon |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | MD26229 | Oregon |
Profile Details
| NPI number | 1437167962 |
|---|---|
| LBN Legal business name | Reddy, Pulla Raghuram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 21st, 2021 - about 3 years ago |
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 | 1437167962 | NPPES |
| Oregon | MEDICAID | 023274 |
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