Individual
AYESHA N. PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
65 N MARIO CAPECCHI, SALT LAKE CITY, UT 84132-0005
(801) 581-2121
Mailing address
65 N MARIO CAPECCHI, SALT LAKE CITY, UT 84132-0005
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13539236-1205
UT
Other
Enumeration date
03/24/2022
Last updated
08/16/2023
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