Individual
EDWIN M. CARAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2292
Mailing address
PO BOX 510726, SALT LAKE CITY, UT 84151-0726
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
172725-1205
UT
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
172725-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930044483
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
10/01/2012
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