Individual
DR. BASHEER AHAMAD KUMMANGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.027492
OH
207RN0300X
Nephrology Physician
Primary
MD224247
OR
Other
Enumeration date
06/27/2016
Last updated
07/09/2025
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