Organization
VEIN INSTITUTE OF UTAH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHSAN HADJBIAN M.D. (OWNER)
(801) 748-0580
Entity
Organization
Contact information
Practice address
909 E 9400 S, SUITE C, SANDY, UT 84094-5514
(801) 748-0580
(801) 748-2274
Mailing address
909 E 9400 S, SUITE C, SANDY, UT 84094-5514
(801) 748-0580
(801) 748-2274
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
52665561205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529967032004
—
UT
Enumeration date
07/08/2006
Last updated
07/20/2012
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