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Contact Information

SHIVAANI KUMMAR
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-314-7168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHIVAANI KUMMAR · (Female)

NPI Number 1053612341
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2010
Last updated 07/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 133954
  • MD License # D0051239
  • OR License # MD197646
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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