Individual
AMIR KASHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N 1900 E # 4R118, SALT LAKE CITY, UT 84132
(801) 585-0553
Mailing address
30 N 1900 E # 4R118, SALT LAKE CITY, UT 84132-0002
(801) 585-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111882
CA
207RG0100X
Gastroenterology Physician
Primary
11313928-1205
UT
207RG0100X
Gastroenterology Physician
MD56616
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EG594Z
—
CA
Enumeration date
02/06/2008
Last updated
10/29/2021
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