Ajay Giri, MD | |
4624 S Holladay Blvd, Holladay, UT 84117-7054 | |
(801) 277-2682 | |
(801) 277-2980 |
Full Name | Ajay Giri |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4624 S Holladay Blvd, Holladay, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861075061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MRM-2048 (Idaho) | Secondary |
207Q00000X | Family Medicine | 14024467-1205 (Utah) | Primary |
Entity Name | Olympus Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508810508 PECOS PAC ID: 8921991506 Enrollment ID: O20040206000213 |
Mailing Address | Practice Location Address |
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Ajay Giri, MD 4624 S Holladay Blvd, Holladay, UT 84117-7054 Ph: (801) 277-2682 | Ajay Giri, MD 4624 S Holladay Blvd, Holladay, UT 84117-7054 Ph: (801) 277-2682 |
Dr. Douglas Roland Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4544 S Holladay Blvd, Holladay, UT 84117 Phone: 801-682-6817 | |
Dr. Jordan Russell Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117 Phone: 801-268-2584 Fax: 801-262-1168 |