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Contact Information

ANDREW T PAVIA, MD
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-587-9244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANDREW T PAVIA · (Male)

NPI # 1417047036
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 09/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 180179-1205
  • UT License # 1801791205
Hospital affiliation(s) Not Available
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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