Individual
DR. VIDYA MALINI RAJ KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-4384
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-4384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57012504
OH
207R00000X
Internal Medicine Physician
MD2012-0679
NM
207RN0300X
Nephrology Physician
Primary
7298413-1205
UT
Other
Enumeration date
03/21/2007
Last updated
03/31/2022
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