Endocrinology Center Of Utah | |
4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 | |
(801) 871-8366 | |
(801) 375-3810 |
Full Name | Endocrinology Center Of Utah |
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Speciality | Internal Medicine |
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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrinology Center Of Utah 4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 Ph: (801) 871-8366 | Endocrinology Center Of Utah 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 |
Medicare PECOS PAC ID | 4385993807 |
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Medicare Enrollment ID | O20180816002054 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992298970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 81741361205 (Utah) | Primary |
Provider Name | Shahzad Ahmad |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1467533950 PECOS PAC ID: 0244259257 Enrollment ID: I20120229000532 |
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