Individual
KSHAMA RAMA JAISWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 213-4269
Mailing address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13759935-1205
UT
2086X0206X
Surgical Oncology Physician
13759935-1205
UT
2086X0206X
Surgical Oncology Physician
49844
CO
Other
Enumeration date
06/13/2007
Last updated
12/12/2024
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