Individual
DR. TANVI HATHIWALA MUKUNDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3 PULM, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, P3 PULM, PORTLAND, OR 97239-2964
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
MD171943
OR
Other
Enumeration date
04/19/2012
Last updated
08/17/2020
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