Individual
BHAGAWAT ACHARYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-7000
Mailing address
4 E HANAUER PL, SALT LAKE CITY, UT 84107-3891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7376490-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
12944235-4405
UT
Other
Enumeration date
06/15/2021
Last updated
12/11/2022
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