Individual
MEHRNOOSH SHAKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
376066-1205
UT
Other
Enumeration date
11/21/2006
Last updated
11/08/2021
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