Individual
MICHAEL NISHAN SHERANIAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, SALT LAKE CITY, UT 84120-6490
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F23-103545
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/17/2018
Last updated
04/15/2026
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