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Contact Information

MINA GOHARI, MD
1160 E 3900 S
STE G200
SALT LAKE CITY, UT84124-1202
 Phone: 801-268-7766
 Fax: 201-270-3395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MINA GOHARI · (Female)

NPI Number 1083824940
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 11/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301088182
  • UT License # 7711982-1205
  • UT Other 000057838 PTAN
Hospital affiliation(s)
  • LONE PEAK HOSPITAL - (Acute Care)
    11925 S STATE STREET
    DRAPER, UT 84020
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
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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