Organization
QUANTUM PROVIDER SOLUTIONS LLC
Active
Organization
QUANTUM PROVIDER SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAJE KAKOOZA (MEMBER)
(323) 251-7313
Entity
Organization
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(323) 251-7313
Mailing address
10 W BROADWAY, SALT LAKE CITY, UT 84101-2002
(323) 251-7313
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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