Individual
DR. MASOUD BEHRAVESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL UTAH, 30 NORTH 1900 EAST, SALT LAKE CITY, UT 84132-2115
(801) 581-2401
Mailing address
140 SOUTH 800 EAST, SALT LAKE CITY, UT 84102-4151
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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