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Roman A Shingarev, MD
Nephrology Physician in South Salt Lake, Utah
NPI 1457564601

Roman A Shingarev is a Nephrology Physician based in South Salt Lake, UT and is specialized in Nephrology. Roman A Shingarev practices in South Salt Lake, UT and has the professional credentials of MD. The NPI Number for Roman A Shingarev is 1457564601 and holds a License No. (Utah).

The current practice location address for Roman A Shingarev is 3702 S State St Ste 107, South Salt Lake, UT and can be reached out via phone at 801-288-2634 and via fax at 801-288-1186.

Location: 3702 S State St Ste 107, South Salt Lake, UT, 84115-5096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457564601
Provider Name
Roman A Shingarev
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3702 S State St Ste 107, South Salt Lake, UT, 84115-5096
Phone Number
801-288-2634
Fax Number
801-288-1186
Provider Enumeration Date
05/07/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051119646 01 AL BCBS
051119633 01 AL BCBS
130856 05 AL
051119647 01 AL BCBS
06250501 05 MS
130859 05 AL
1457564601 05 UT
130858 05 AL
Z21075 01 AL VIVA
institution
Provider Business Practice Location Address Details
Address
3702 S State St Ste 107
City
South Salt Lake
State
Utah
Zip
84115-5096
Phone Number
801-288-2634
Fax Number
801-288-1186
person
Provider Business Mailing Address Details
Address
3702 S State St Ste 107
City
South Salt Lake
State
Utah
Zip
84115-5096
Phone Number
801-288-2634
Fax Number
801-288-1186
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
13466615-1205 (Utah)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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