Provider Demographics
NPI:1811942733
Name:DHINGRA, ANSHU (MD)
Entity type:Individual
Prefix:
First Name:ANSHU
Middle Name:
Last Name:DHINGRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANSHU
Other - Middle Name:
Other - Last Name:SALIYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4510 SW HALL BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-0504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4510 SW HALL BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-0504
Practice Address - Country:US
Practice Address - Phone:503-644-1171
Practice Address - Fax:503-643-7443
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045577207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD26098OtherOR LICENSE
OR026809Medicaid
I45621Medicare UPIN
WA8864748Medicare PIN