Individual
BAHMAN SOTOODIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCP(C), FAAD
Contact information
Practice address
440 W 200 S STE 250, SALT LAKE CITY, UT 84101-1462
(801) 595-1600
Mailing address
50 S 500 W APT 321, SALT LAKE CITY, UT 84101-1295
(518) 801-7415
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11062773-1205
UT
Other
Enumeration date
12/08/2018
Last updated
12/17/2021
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