Jahan Imani MD

NPI 1063414969 - Internal Medicine - 207R00000X

NPI Details
NPI 1063414969
Gender Male
Enumeration Date 08/11/2005
Last Updated 04/19/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
5315 ADAMS AVE PKWY
STE A
WASHINGTON TERRACE UT, 84405-4766, US
Phone (801) 475-0399
Fax (801) 475-7322
Business Location
PO BOX 9519
OGDEN UT, 84409-0519, US
Phone (801) 475-0399
Fax (801) 475-7322
Toxanomy
Taxonomy Code 207R00000X
License State Utah
License Number 260615
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According to our database, Dr. Jahan Imani MD NPI is 1063414969, taxonomy code is 207R00000X and license number is 260615, license state is located at Utah. Jahan Imani MD physically located at 5315 Adams Ave Pkwy, Washington Terrace UT, 84405-4766. NPI Number Jahan Imani MD has the Individual type.

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1063414969 NPI number is provided on an as is basis without warranty of any kind. 1063414969 is maintained by the National Plan & Provider Enumeration System. The contents of Jahan Imani MD are for informational purposes only.