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Individual

DR. SUJATA DEVI KAUSHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4403 HARRISON BLVD, OGDEN, UT 84403-3271
(801) 475-1657
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6810650-1205
UT

Other

Enumeration date
01/30/2007
Last updated
08/07/2008
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