Shah, Rupa Kirit

Shah, Rupa Kirit is an individual health care provider with primary practice located at 8645 Se Sunnybrook Blvd Ste 200 , Clackamas OR 97015-6841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shah, Rupa Kirit can be contacted via phone (503) 659-1694.

Contact Information

Primary practice address
8645 Se Sunnybrook Blvd Ste 200 Clackamas OR 97015-6841
Phone: (503) 659-1694
Fax: (503) 659-8984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD14153 Oregon

Profile Details

NPI number 1568408292
LBN Legal business name Shah, Rupa Kirit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 16th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568408292 NPPES
Oregon MEDICAID 104422

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