Individual
DR. SHILPA KALA SANNAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD STE 602, PROVO, UT 84604-3331
(801) 357-0570
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-0570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301508115
MI
208M00000X
Hospitalist Physician
4301508115
MI
Other
Enumeration date
04/10/2018
Last updated
05/26/2025
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