Individual
HASSAN M. YAISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 581-2121
Mailing address
127 S 500 E, 600, SALT LAKE CITY, UT 84102-1959
(801) 587-6336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5261650-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
5261650-1205
UT
Other
Enumeration date
11/03/2006
Last updated
12/20/2016
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