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MYELOMA CARE DEPARTMENT OF UNIVERSITY OF UTAH NPI 1215192026


NPI Information

NPI: 1215192026
Provider Name: MYELOMA CARE DEPARTMENT OF UNIVERSITY OF UTAH

Doing Business As: UUMC - MYELOMA CARE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121
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MYELOMA CARE DEPARTMENT OF UNIVERSITY OF UTAH is a hematology and oncology internal medicine in Salt Lake City, UT. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MYELOMA CARE DEPARTMENT OF UNIVERSITY OF UTAH NPI is 1215192026. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uumc - Myeloma Care.

The provider's business location address is:

1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT
ZIP 84112-500
Phone: (801) 581-2121

The provider's authorized official is Janell I Madonna .
The authorized official title is Director Of Contracting And Pe and has the following contact phone number (801) 587-6464.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 4/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DN9494OTHERUTAHRR MEDICARE
2808154300 - MIDMEDICAIDIDAHO
3000064335MEDICARE PINUTAH
4808115200MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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