Individual
NUSRAT AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 S MAIN ST, SUIT #100, SALT LAKE CITY, UT 84101-3176
(801) 572-0133
(801) 539-7050
Mailing address
46 LONE HOLW, SANDY, UT 84092-5530
(801) 572-0133
(801) 539-7050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1741651205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RCAR
RAILROAD MEDICARE
UT
01
—
U001
BLUE CROSS
UT
01
—
U002
DESERET MUTUAL
UT
01
—
U003
EDUCATORS MUTUAL
UT
01
—
U006
INTERMOUNTAIN HEALTH CARE
UT
01
—
U009
CHAMPUS
UT
Enumeration date
12/03/2005
Last updated
08/14/2012
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