National Provider Identifier Database

PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
Phone: 801-662-5400
Fax: 801-662-5404
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH

NPI Number 1114096195
Legal business name
LBN
PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
Authorized official EDWARD CLARK - (DEPT CHAIR)
Entity Organization
Organization subpart No
Enumeration date 11/06/2006
Last updated 09/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 22001832
  • ID Medicaid: 807148600
  • IN Medicaid: 200817950A
  • NV Medicaid: 100507101
  • OK Medicaid: 200065910A
  • WY Medicaid: 121313000

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.

Reviews for PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH

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