Individual
DR. JAHAN IMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5315 ADAMS AVE PKWY, STE A, WASHINGTON TERRACE, UT 84405-4766
(801) 475-0399
(801) 475-7322
Mailing address
PO BOX 9519, OGDEN, UT 84409-0519
(801) 475-0399
(801) 475-7322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
260615
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91749924027
—
UT
Enumeration date
08/11/2005
Last updated
04/19/2016
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