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4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 | |
(801) 871-8366 | |
(801) 375-3810 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 4465 S 900 E Ste 200, Salt Lake City, Utah |
Authorized Official Name and Position | Shahzad Ahmad (OWNER) |
Authorized Official Contact | 8013102795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 Ph: (801) 871-8366 | 4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 Ph: (801) 871-8366 |
NPI Number | 1992298970 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 12/27/2019 |
Identifier | Type | State | Issuer |
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1992298970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 81741361205 (Utah) | Primary |
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