Individual
SHANEEN UMAKANT DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UTAH HOSPITAL, 30 NORTH 1900 EAST, SALT LAKE CITY, UT 84132-0001
(801) 581-2401
Mailing address
420 FLETCHER CT, SALT LAKE CITY, UT 84102-3022
(503) 490-9890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1073747887
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
39
UT
Other
Enumeration date
05/07/2009
Last updated
07/23/2012
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