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

Shubh Khullar

Individual provider Certified Registered Nurse Anesthetist · NPI 1972331411

Shubh Khullar is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Hospitalist Medicine Physicians of Washington - Tcs, a 208-clinician group and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
2
Licensed in
FL, OR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (786) 852-5196
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10024236 (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 149014 (FL)

Record details

NPI number1972331411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hospitalist Medicine Physicians Of Washington - Tcs — 208 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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