Individual
DR. AMMAR ALI MUBARAK ASBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-4222
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-4222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
260348
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
105134
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
12779409-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S68018745
DRIVER'S LICENSE
MA
Enumeration date
07/02/2014
Last updated
06/30/2025
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