Edward W Ganellen, MD - Internal Medicine in Salt Lake City, UT

Edward W Ganellen, MD is a Internal Medicine - Interventional Cardiology physician based in Salt Lake City, Utah. Edward W Ganellen is licensed to practice in Utah (license number 187176-1205) and his current practice location is 1160 E 3900 S, Suite 2000, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 266-3418.

NPI number for Edward W Ganellen is 1164414017 and his current mailing address is 1160 E 3900 S, Suite 2000, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164414017.

Contact Information

Edward W Ganellen, MD
1160 E 3900 S, Suite 2000,
Salt Lake City, UT 84124-1202
(801) 266-3418
(801) 288-4444

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Physician's Profile

Full NameEdward W Ganellen
GenderMale
SpecialityInternal Medicine - Interventional Cardiology
Location1160 E 3900 S, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164414017
  • Provider Enumeration Date: 08/17/2005
  • Last Update Date: 01/20/2015

Medical Identifiers

Medical identifiers for Edward W Ganellen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164414017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 187176-1205 (Utah)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 187176-1205 (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. Edward W Ganellen 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
Edward W Ganellen, MD
1160 E 3900 S, Suite 2000,
Salt Lake City, UT 84124-1202

Ph: (801) 266-3418
Edward W Ganellen, MD
1160 E 3900 S, Suite 2000,
Salt Lake City, UT 84124-1202

Ph: (801) 266-3418

Reviews and Comments


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