Dr Komal Rastogi, MD | |
2965 W 3500 S, West Valley City, UT 84119-3602 | |
(801) 965-3600 | |
Not Available |
Full Name | Dr Komal Rastogi |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 12 Years |
Location | 2965 W 3500 S, West Valley City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063774669 | NPI | - | NPPES |
3007519 | Medicaid | UT |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Physician Group Of Utah Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Entity Name | Virtual Neurology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760940167 PECOS PAC ID: 9830425321 Enrollment ID: O20200212001058 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Entity Name | Virtual Neurology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336808567 PECOS PAC ID: 4981087897 Enrollment ID: O20240425001786 |
Mailing Address | Practice Location Address |
---|---|
Dr Komal Rastogi, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Komal Rastogi, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
Susan M Zimmerman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Mr. Glen Eric Johnson, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3940 West 4100 South, West Valley City, UT 84120 Phone: 801-966-3700 Fax: 801-966-9421 | |
Dr. Brent P Goodman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3535 S Market St, West Valley City, UT 84119 Phone: 385-430-1430 |