Awais Ali Ahmad

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI 1104654847 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1104654847
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone
(801) 581-7498
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Mailing address

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.