Dr Keith S White, MD - Radiology in Salt Lake City, UT

Dr Keith S White, MD is a Radiology - Pediatric Radiology physician based in Salt Lake City, Utah. Dr Keith S White is licensed to practice in Utah (license number 274038-1205) and his current practice location is 100 N Medical Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 662-1900.

NPI number for Dr Keith S White is 1083724066 and his current mailing address is 869 E 4500 S, Pmb 511, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083724066.

Contact Information

Dr Keith S White, MD
100 N Medical Dr,
Salt Lake City, UT 84113-1103
(801) 662-1900
Not Available

Map and Direction




Physician's Profile

Full NameDr Keith S White
GenderMale
SpecialityRadiology - Pediatric Radiology
Location100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083724066
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 06/17/2008

Medical Identifiers

Medical identifiers for Dr Keith S White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083724066NPI-NPPES
1600059OtherUTUNITED HEALTHCARE
35834OtherUTDESERET MUTUAL
47722OtherUTPUBLIC EMPLOYEES HEALTH
107007081101OtherUTSELECTHEALTH
8550895OtherUTAETNA
870355724WH1OtherUTEDUCATORS MUTUAL
2341OtherUTUUHN
QM0000027099OtherUTALTIUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology 274038-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith S White is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Keith S White, MD
869 E 4500 S, Pmb 511,
Salt Lake City, UT 84107-3049

Ph: (801) 487-0451
Dr Keith S White, MD
100 N Medical Dr,
Salt Lake City, UT 84113-1103

Ph: (801) 662-1900

Reviews and Comments


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