Individual
REENA PATEL TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
(801) 662-5755
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3645
(801) 662-3664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8790941-1205
UT
Other
Enumeration date
04/10/2012
Last updated
11/23/2021
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