Individual
BEN SHADER CHORTKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPT OF ANESTH UNIV OF UTAH 30 NORTH 1900 E, ROOM 3C444, SALT LAKE CITY, UT 84132-0001
(801) 581-6393
(801) 581-4367
Mailing address
DEPT OF ANESTH UNIV OF UTAH 30 NORTH 1900 E, ROOM 3C444, SALT LAKE CITY, UT 84132-0001
(801) 581-6393
(801) 581-4367
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6801106
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G653710
—
CA
Enumeration date
06/13/2006
Last updated
11/12/2021
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