# ATLAS INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467110833
- **Authorized official:** DR. KAVITA G WILLESEN MD (OWNER)
- **Authorized official phone:** (801) 845-3736

## Contact information

- **Practice address:** 6965 S UNION PARK CTR STE 430, COTTONWOOD HEIGHTS, UT 84047-6507
- **Practice address phone:** (385) 308-8937
- **Practice address fax:** (801) 701-8308
- **Mailing address:** 8165 S WILLOW CREEK CV, COTTONWOOD HEIGHTS, UT 84093-6203
- **Mailing address phone:** (801) 809-9471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2021
- **Last updated:** 07/11/2022