MEDICARE: DR. AISHWARYA BHAT DEENADAYALU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD28346	OR

General Provider Information

NPI Number	:	1649253246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AISHWARYA BHAT DEENADAYALU MD

Provider Business Mailing Address
First Line	:	1130 NW 22ND AVE STE 320
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2970
Country	:	US
Telephone Number	:	503-295-2546
Fax Number	:	503-790-1248

Provider Business Practice Location Address
First Line	:	1130 NW 22ND AVE STE 320
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2970
Country	:	US
Telephone Number	:	503-295-2546
Fax Number	:	503-790-1248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	01/30/2026

Similar Medicare Providers

1790327625 — EMILY TERESA PADILLA L14636
Practice Location Address:

1130 NW 22ND AVE STE 320
PORTLAND, OR
97210-2970

Practice Phone: 503-295-2546
Practice Fax:

1871595439 — NADJA DESIREE BIX MD
Practice Location Address:

1130 NW 22ND AVE STE 320
PORTLAND, OR
97210-2970

Practice Phone: 503-295-2546
Practice Fax: 503-790-1248

1235131632 — METROPOLITAN PEDIATRICS, LLC
Practice Location Address:

1130 NW 22ND AVE STE 320
PORTLAND, OR
97210-2970

Practice Phone: 503-295-2546
Practice Fax: 503-790-1248

1932190071 — EARL S SCHUMAN MD
Practice Location Address:

1130 NW 22ND AVE , STE 300
PORTLAND, OR
97210-2970

Practice Phone: 503-226-4325
Practice Fax: 503-227-5024

1376571364 — NORTHWEST DERMATOLOGY & LASER CLINIC PC
Practice Location Address:

1130 NW 22ND AVE STE 330
PORTLAND, OR
97210-2970

Practice Phone: 503-295-2366
Practice Fax: 503-295-3065

1790790210 — CINDI LOUISE FARNSTROM PNP
Practice Location Address:

1130 NW 22ND AVE STE 320
PORTLAND, OR
97210-2970

Practice Phone: 503-295-2546
Practice Fax: 503-790-1248

Directions to “ DR. AISHWARYA BHAT DEENADAYALU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.