Individual
IRFAN ALI RHEMTULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3B400, SALT LAKE CITY, UT 84132-0002
(801) 581-8419
Mailing address
30 N 1900 E RM 3B400, SALT LAKE CITY, UT 84132-0002
(801) 581-8419
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
11262380-1205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
C1-0026170
DE
Other
Enumeration date
04/15/2013
Last updated
08/24/2023
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