Active NPIIndividual provider

Alan R Massouh, MD

Radiology, Diagnostic Radiology in Salt Lake City, Utah

NPI Number1568922151
Practice location
30 N 1900 E Rm 1A071, Salt Lake City, UT 84132-0002
Fax
—
Last updated
February 13, 2026

Alan R. Massouh is a Radiology, Diagnostic Radiology based in Salt Lake City, UT. Alan R. Massouh practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Alan R. Massouh is 1568922151 and holds a License No. 340814 (NY). The current practice location address for Alan R. Massouh is 30 N 1900 E Rm 1A071, Salt Lake City, UT 84132-0002 and can be reached out via phone at 801-581-2868.

Provider Profile Details

NPI Number
1568922151
Provider Name
Alan R. Massouh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 N 1900 E Rm 1A071, Salt Lake City, UT 84132-0002
Phone Number
801-581-2868
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
March 21, 2019
Last Update Date
February 13, 2026
Certification Date
February 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 N 1900 E Rm 1A071
Salt Lake City, UT 84132-0002
State
Utah
Zip
84132-0002
Phone Number
801-581-2868
Salt Lake City, UT 84132Get directions →

Provider Business Mailing Address Details

Address
111 Colchester Ave
Burlington, VT 05401-1473
City
Burlington
State
VT
Zip
05401-1473
Phone Number
802-847-0000

License Information

License Number (1)
340814
License State (1)
NY
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
11924132-1205
License State (2)
UT
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
11924132-1205
License State (3)
UT
License Number (4)
042.0018520
License State (4)
VT
Taxonomy (4)
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alan R Massouh, MD?

The NPI number of Alan R Massouh, MD is 1568922151. It was assigned on March 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Alan R Massouh, MD?

Alan R Massouh, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NY under license number 340814.

Where does Alan R Massouh, MD practice?

The practice location is 30 N 1900 E Rm 1A071, Salt Lake City, UT 84132-0002. The office can be reached at 801-581-2868 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568922151 directly on the NPPES registry website.

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