Individual
DR. SANJEEV TREHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD STE 3400, OGDEN, UT 84403-3281
(801) 387-3400
Mailing address
4403 HARRISON BLVD STE 3400, OGDEN, UT 84403-3281
(801) 387-3400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
22276
OK
207RI0011X
Interventional Cardiology Physician
22276
OK
207RI0011X
Interventional Cardiology Physician
Primary
276504-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100 030 040 A
—
OK
01
—
P00409627
RAILROAD MEDICARE
OK
Enumeration date
05/20/2006
Last updated
08/05/2022
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