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Individual

ASHOK K. TUTEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7802
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 238-6615

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4969159-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100016491
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
12/20/2021
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