Individual
ALI AHMED FAZILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 E 10TH AVE STE 170, SALT LAKE CITY, UT 84103
(801) 408-5555
(801) 408-5556
Mailing address
324 E 10TH AVE STE 170, SALT LAKE CITY, UT 84103-2858
(801) 408-5555
(801) 408-5556
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5114957-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
5114957-1205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
5114957-1205
UT
Other
Enumeration date
12/22/2005
Last updated
06/11/2018
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