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

Punag Divanji, MD

Individual provider Internal Medicine Physician · NPI 1144510843

Punag Divanji, MD is an Internal Medicine Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7400
Fax: (503) 494-4749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD193114 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD193114 (OR)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence MD193114 (OR)

Record details

NPI number1144510843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2011
Last updated in NPPESSeptember 4, 2019

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