Individual provider · Type 1 NPI

Tagore Mohan Grandhi, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1669641684 Active

Practice location

1040 NW 22nd Ave, 500
Portland, OR 97210-3057

Call (503) 227-5050 Map

Fax (503) 227-2462

Mailing address

2416 NW Schmidt Way, Apt # 216
Beaverton, OR 97006-4661

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLL16685 (OR)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1669641684

Tagore Mohan Grandhi, MD's National Provider Identifier is 1669641684, issued on Feb 23, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Feb 23, 2008.