Individual
SUNIL RATHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N MEDICAL DR RM 5001, SALT LAKE CITY, UT 84112-1103
(801) 581-2121
Mailing address
175 N MEDICAL DR RM 5001, SALT LAKE CITY, UT 84112-1103
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13442359-1235
UT
2084N0400X
Neurology Physician
306509
LA
2084N0400X
Neurology Physician
71475
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2390881
—
LA
Enumeration date
04/27/2015
Last updated
03/16/2026
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