Individual
AZRAA SAMIN AYESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 581-2121
Mailing address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
04/03/2025
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