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Jahan Imani Md Pc
Specialist in Washington Terrace, Utah
NPI 1366560484

Jahan Imani Md Pc is a Specialist based in Ogden, UT. Jahan Imani Md Pc practices in Washington Terrace, UT. The NPI Number for Jahan Imani Md Pc is 1366560484 and holds a License No. 2606151205 (Utah).

The current practice location address for Jahan Imani Md Pc is 5315 Adams Ave Pkwy, Washington Terrace, UT and can be reached out via phone at 801-475-5950 and via fax at 801-475-7322.

Location: 5315 Adams Ave Pkwy, Washington Terrace, UT, 84409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366560484
Provider Name
Jahan Imani Md Pc
Credential
Provider Entity Type
Organization
Address
5315 Adams Ave Pkwy, Washington Terrace, UT, 84409
Phone Number
801-475-5950
Fax Number
801-475-7322
Provider Enumeration Date
03/27/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000057660 01 UT GOUP MEDICARE NUMBER
3010760 05 UT
institution
Provider Business Practice Location Address Details
Address
5315 Adams Ave Pkwy
City
Washington Terrace
State
Utah
Zip
84405-4766
Phone Number
801-475-5950
Fax Number
801-475-7322
person
Provider Business Mailing Address Details
Address
5315 Adams Ave Pkwy
City
Washington Terrace
State
Utah
Zip
84405-4766
Phone Number
801-475-5950
Fax Number
801-475-7322
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2606151205 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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