Individual
VINAY GIDWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259180
VA
207R00000X
Internal Medicine Physician
MD214777
OR
208M00000X
Hospitalist Physician
076719
GA
208M00000X
Hospitalist Physician
55660
AZ
208M00000X
Hospitalist Physician
Primary
MD214777
OR
Other
Enumeration date
04/05/2013
Last updated
12/16/2025
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