Individual
REHAM MOHAMMED I ELLESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N. MARIO CAPECCHI DR, 2S106, SALT LAKE CITY, UT 84112
(847) 834-5907
Mailing address
30 N. MARIO CAPECCHI DR, 2S106, SALT LAKE CITY, UT 84112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14098529-1252
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
03/17/2025
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