Individual
DR. JAMAL S HEJAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1141 E 3900 S, SALT LAKE CITY, UT 84124-1250
(801) 284-4990
(801) 284-4991
Mailing address
1141 E 3900 S STE A170, SALT LAKE CITY, UT 84124-1250
(801) 284-4990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7608
NV
2084P0800X
Psychiatry Physician
992637831205
UT
2084P0800X
Psychiatry Physician
A49714
CA
2084P0804X
Child & Adolescent Psychiatry Physician
7608
NV
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
992637831205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
A49714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007645101
INTRMTN HEALTH CARE
UT
01
—
263060
DESERET MUTUAL
UT
01
—
942938348HE2
EDUCATORS MUTUAL
UT
Enumeration date
01/30/2006
Last updated
08/08/2012
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