Individual
DR. KOMAL RASTOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10714567-1205
UT
2084N0400X
Neurology Physician
MD219186
OR
2084N0400X
Neurology Physician
MD61523148
WA
2084N0400X
Neurology Physician
ME166731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007519
—
UT
Enumeration date
06/11/2012
Last updated
11/19/2024
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