| Diagnopy, Llc | |
|
4285 S Highland Dr Salt Lake City UT 84124-2603 | |
| (801) 278-2839 | |
| Not Available |
| Full Name | Diagnopy, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4285 S Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Girish Kalva (MEMBER) |
| Authorized Official Contact | 8019137590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnopy, Llc 5058 S Moray Ct Holladay UT 84117-3200 Ph: (801) 913-7590 | Diagnopy, Llc 4285 S Highland Dr Salt Lake City UT 84124-2603 Ph: (801) 278-2839 |
| NPI Number | 1750769220 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 3779895107 |
|---|---|
| Medicare Enrollment ID | O20150629000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750769220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5637572-1205 (Utah) | Primary |
| Provider Name | Girish Kalva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821059544 PECOS PAC ID: 2769452937 Enrollment ID: I20040727000908 |
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