National Provider Identifier Database

DOUGLAS G KONDO, MD – NPI #1083703284
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

DOUGLAS G KONDO, MD
501 S CHIPETA WAY
SALT LAKE CITY, UT84108-1222
Phone: 801-585-1575
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for DOUGLAS G KONDO

NPI Number 1083703284
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 6313601-1205
  • UT Other: 11725447 CAQH NUMBER
  • UT Other: 6313601-1205 UTAH MEDICAL LICENSE
Hospital affiliation n/a

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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