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Individual

FAISAL ALJEHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.B.B.S

Contact information

Practice address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-2101
(917) 574-2448
Mailing address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-2101
(917) 574-2448

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10095675-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10095675-1205
UTAH MEDICAL LICENSE
UT
01
10095675-8905
UTAH MEDICAL LICENSE CS
UT
Enumeration date
08/18/2015
Last updated
10/12/2016
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