Individual
HARRY O SENEKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD, SUITE 2635, OGDEN, UT 84403-3244
(801) 387-6820
(801) 387-6825
Mailing address
4403 HARRISON BLVD, SUITE 2635, OGDEN, UT 84403-3244
(801) 387-6820
(801) 387-6825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
169315 1205
UT
207RN0300X
Nephrology Physician
Primary
169315
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060400
IDAHO MEDICAID
UT
01
—
0400649
UHC
UT
05
—
07331
—
UT
01
—
107004821101
IHC
UT
01
—
110234858
PALMETTO RR INS
UT
01
—
1167014 00
ACS
UT
05
—
1760484596
—
UT
01
—
31896
GEM STATE
UT
01
—
68391
PEHP
UT
01
—
8445
DMBA
UT
01
—
PR00533
MOLINA
UT
01
—
QM0000056196
ALTIUS
UT
Enumeration date
08/11/2005
Last updated
08/15/2016
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