Individual
CHAYA KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E 3900 S, SUITE # 360, SALT LAKE CITY, UT 84124-1348
(801) 263-3041
Mailing address
6360 S 3000 E, #220, SALT LAKE CITY, UT 84121-6923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66772841205
UT
207RG0100X
Gastroenterology Physician
Primary
66772841205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057043
—
UT
Enumeration date
08/30/2007
Last updated
06/09/2015
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