person
Dr. Tagore Mohan Grandhi, MD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1669641684

Tagore Mohan Grandhi is a Student in an Organized Health Care Education/Training Program based in Beaverton, OR. Tagore Mohan Grandhi practices in Portland, OR and has the professional credentials of MD. The NPI Number for Tagore Mohan Grandhi is 1669641684 and holds a License No. LL16685 (Oregon).

The current practice location address for Tagore Mohan Grandhi is 1040 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-227-5050 and via fax at 503-227-2462. You can also correspond with Tagore Mohan Grandhi through the mailing address at 2416 NW SCHMIDT WAY, BEAVERTON, OR - 97006-4661 (mailing address contact number: 503-536-7038).

Location: 1040 Nw 22Nd Ave, Portland, OR, 97006-4661
person
Provider Profile Details
NPI Number
1669641684
Provider Name
Tagore Mohan Grandhi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1040 Nw 22Nd Ave, Portland, OR, 97006-4661
Phone Number
503-227-5050
Fax Number
503-227-2462
Provider Enumeration Date
02/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1040 Nw 22Nd Ave
City
State
Zip
97210-3057
Phone Number
503-227-5050
Fax Number
503-227-2462
person
Provider Business Mailing Address Details
Address
1040 Nw 22Nd Ave
City
State
Zip
97210-3057
Phone Number
503-227-5050
Fax Number
503-227-2462
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
LL16685 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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