Individual provider · Type 1 NPI

Prashanth Nmi Vallabhanath, MD

Ophthalmic Plastic and Reconstructive Surgery Physician · Portland, OR

NPI number 1386626372 Active

Practice location

1955 NW Northrup St
Portland, OR 97209-1614

Call (503) 227-2020 Map

Fax (503) 222-0614

Mailing address

PO Box 22009
Portland, OR 97269-2009

Specialties and licenses

Taxonomy	Code	License
Ophthalmology Physician	207W00000X	MD22584 (OR)
Ophthalmic Plastic and Reconstructive Surgery Physician Primary	207WX0200X	MD22584 (OR)

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…

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About NPI 1386626372

Prashanth Nmi Vallabhanath, MD's National Provider Identifier is 1386626372, issued on Nov 16, 2005. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in Portland, OR. The record was last updated on Feb 20, 2021.