SUPRIYA KHAN

PORTLAND, OR
NPI1023190469
Former NameSUPRIYA MADDIRALA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: OR  MD 28660)
Additional Taxonomies207RN0300X Internal Medicine Nephrology
(Licence: WA  MD60054413)
207RN0300X Internal Medicine Nephrology
(Licence: KY  54992)
Enumeration Date2006-10-19
Last Update Date2021-03-19
Business Address
DR. SUPRIYA KHAN MD
1547 NE 40TH AVE STE B
PORTLAND, OR 97232-1862
Phone number: 503-284-1937
Mailing Address
DR. SUPRIYA KHAN MD
1840 E RAY RD
CHANDLER, AZ 85225-8720
Phone number: 855-397-0197