Vallabhanath, Prashanth Nmi

Vallabhanath, Prashanth Nmi is an individual health care provider with primary practice located at 1955 Nw Northrup St , Portland OR 97209-1614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Vallabhanath, Prashanth Nmi can be contacted via phone (503) 227-2020.

Contact Information

Primary practice address
1955 Nw Northrup St Portland OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD22584 Oregon
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD22584 Oregon

Profile Details

NPI number 1386626372
LBN Legal business name Vallabhanath, Prashanth Nmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386626372 NPPES
Oregon MEDICAID 288426

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