Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Srini Vasan Mukundan, MD

Individual provider Internal Medicine Physician · NPI 1033476650

Dr. Srini Vasan Mukundan, MD is a Critical Care (Intensivists) in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence MD171360 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD171360 (OR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD171360 (OR)

Record details

NPI number1033476650
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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