Individual
SASHI K PEDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8336
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD156698
OR
207R00000X
Internal Medicine Physician
MD60023056
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256047
WASHINGTON DOL
WA
05
—
500641783
—
OR
05
—
8545014
—
WA
Enumeration date
05/23/2007
Last updated
03/12/2012
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