Organization
PRESIDIUM MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHKAN HAYATDAVOUDI MD (OWNER)
(619) 738-5566
Entity
Organization
Contact information
Practice address
32 E EXCHANGE PL FL 6, SALT LAKE CITY, UT 84111-2704
(619) 738-5566
Mailing address
32 E EXCHANGE PL FL 6, SALT LAKE CITY, UT 84111-2704
(619) 738-5566
(619) 566-0202
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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