Individual
PRASHANTH G. FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 S CHIPETA WAY RM 201, SALT LAKE CITY, UT 84108-1260
(801) 581-2121
Mailing address
375 S CHIPETA WAY RM 201, SALT LAKE CITY, UT 84108-1260
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13509667-1205
UT
208M00000X
Hospitalist Physician
Primary
13509667-1205
UT
Other
Enumeration date
04/15/2021
Last updated
12/29/2025
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