Individual
DR. NIKIL MOODABAGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
4403 HARRISON BLVD STE 2855, OGDEN, UT 84403-3323
(801) 387-7150
Mailing address
4403 HARRISON BLVD STE 2855, OGDEN, UT 84403-3323
(602) 369-2191
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
12159845-1205
UT
207RX0202X
Medical Oncology Physician
12159845-1205
UT
Other
Enumeration date
03/30/2014
Last updated
04/17/2021
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