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Individual

JUMAH G AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 N MARIO CAPECCHI DR RM 4S200, SALT LAKE CITY, UT 84112
(801) 581-2121
(713) 383-1410
Mailing address
30 N MARIO CAPECCHI DR RM 4S200, SALT LAKE CITY, UT 84112
(801) 581-2121
(713) 383-1410

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
13882316-1205
UT
207YX0901X
Otology & Neurotology Physician
Primary
13882316-1205
UT

Other

Enumeration date
03/26/2019
Last updated
07/12/2024
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