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Contact Information

MARYAM REZVANI, MD
30 NORTH 1900 EAST
#1A71
SALT LAKE CITY, UT84132
 Phone: 801-581-8699
 Fax: 801-581-2414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for MARYAM REZVANI · (Female)

NPI # 1770701542
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2007
Last updated 11/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-115412
  • IN License # 01060592A
  • UT License # 6586813-1205
  • UT License # 65868131205
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
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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