Dr Sandhya V Koppula, MD - Dermatology in Beaverton, OR

Dr Sandhya V Koppula, MD is a Dermatology physician based in Beaverton, Oregon. Dr Sandhya V Koppula is licensed to practice in Oregon (license number MD18825) and her current practice location is 17200 Nw Corridor Court, Suite 112, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 439-6969.

NPI number for Dr Sandhya V Koppula is 1962487231 and her current mailing address is 17200 Nw Corridor Court, Suite 112, Beaverton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962487231.

Contact Information

Dr Sandhya V Koppula, MD
17200 Nw Corridor Court, Suite 112,
Beaverton, OR 97006-3295
(503) 439-6969
(503) 439-6868



Physician's Profile

Full NameDr Sandhya V Koppula
GenderFemale
SpecialityDermatology
Location17200 Nw Corridor Court, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962487231
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 11/03/2010

Medical Identifiers

Medical identifiers for Dr Sandhya V Koppula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962487231NPI-NPPES
8180424MedicaidWA
075544MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD18825 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandhya V Koppula is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sandhya V Koppula, MD
17200 Nw Corridor Court, Suite 112,
Beaverton, OR 97006-3295

Ph: (503) 439-6969
Dr Sandhya V Koppula, MD
17200 Nw Corridor Court, Suite 112,
Beaverton, OR 97006-3295

Ph: (503) 439-6969

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Dermatology Doctors in Beaverton, OR

Dr. Eric Hunter Kilber, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-380-7418    
Ms. Mary Lyons, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-520-4855    
Janelle Marie Rohrback, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006
Phone: 503-646-0161    Fax: 503-643-7459

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