Individual
DR. SHAWN SHAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 MARIO CAPECCHI DR RM 4E207, FORBES TOWER-PLAZA LEVEL SUITE 140, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL52598
SC
2080P0202X
Pediatric Cardiology Physician
Primary
13896234-1205
UT
Other
Enumeration date
06/11/2018
Last updated
12/01/2025
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