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NPI Lookup from the NPI Registry — National Provider Identifier Database

ANDREA K BACANI, MD – NPI #1730163239
Rheumatology

Dr BACANI graduated 2004 from CREIGHTON UNIVERSITY SCHOOL OF MEDICINE. An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

ANDREA K BACANI, MD
4403 HARRISON BLVD
STE 3650
OGDEN, UT84403-3271
 Medical school:
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004

 Phone: 801-387-7125
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty
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NPI Profile & details for ANDREA K BACANI · (Female)

NPI Number 1730163239
Credentials MD
Entity Individual
Enumeration date 11/30/2005
Last updated 08/31/2011 - About 3 years ago
Sole proprietor 1 No
Identifiers
AZ License # 34524
MN License # 103872
MN License # 51043
UT License # 8027519-1205
AZ Medicaid 223832
MN Medicaid ENROLLED
AZ Medicare PIN Z115730
MN Medicare PIN 660000232
MN Other P00728951 RAILROAD MEDICARE
Hospital affiliation(s)
  • MCKAY DEE HOSPITAL CENTER - (Acute Care)
    4401 HARRISON BOULEVARD
    OGDEN, UT 84403
  • OGDEN REGIONAL MEDICAL CENTER - (Acute Care)
    5475 SOUTH 500 EAST
    OGDEN, UT 84405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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