Organization
UTAH CANCER SPECIALISTS PC
Active
Other names
Utah Cancer Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN CHANDRAMOULI MD (PRESIDENT)
(801) 269-0231
Entity
Organization
Contact information
Practice address
3838 S 700 E STE 100, SALT LAKE CITY, UT 84106-1494
(801) 269-0231
(801) 269-0304
Mailing address
10808 S RIVER FRONT PKWY STE 400, SOUTH JORDAN, UT 84095-5761
(801) 262-9494
(801) 266-2074
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
38662A
UT
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
38662A
UT
207RX0202X
Medical Oncology Physician
—
UT
207RX0202X
Medical Oncology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
363A00000X
Physician Assistant
—
UT
363L00000X
Nurse Practitioner
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203370
FEDERAL BLACK LUNG
UT
01
—
CN3088
RAILROAD MEDICARE
UT
Enumeration date
05/05/2006
Last updated
11/24/2025
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