Individual
MOHAMMAD SHOARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 585-6387
Mailing address
40 S 900 E APT 2C, SALT LAKE CITY, UT 84102-1308
(801) 585-6387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5761148-1205
UT
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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