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General NPI Number Information
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NPI Number | 1821443276
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Entity Type | Individual
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Provider Name | VIKRAM SHANKAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 4200 NW NORTH RD
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City | PORTLAND
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State | OR
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Zip | 97229-2593
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Country | US
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Telephone | 503-799-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 14614 N KIERLAND BLVD STE 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2743
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Country | US
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Telephone | 833-836-8326
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A155066
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License Number State | CA
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