Organization Active NPI

Vein Institute of Utah Inc

  • Adult Medicine Physician
  • Sandy, UT
National Provider Identifier
1760415483
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
52665561205 Issued in UT
Legal business name
VEIN INSTITUTE OF UTAH INC
Practice address
909 E 9400 S
Suite C
Sandy, UT 84094-5514
Phone
(801) 748-0580
Fax
(801) 748-2274
NPI assigned
Jul 8, 2006
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ehsan Hadjbian, M.D.NPI 1275535742
Title
Owner
Phone
(801) 748-0580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 52665561205 UT Primary

Addresses

Primary practice location

909 E 9400 S
Suite C
Sandy, UT 84094-5514

Mailing address

909 E 9400 S
Suite C
Sandy, UT 84094-5514
Phone (801) 748-0580

Other identifiers 1

IdentifierTypeStateIssuer
529967032004MedicaidUT

National Provider Directory

National Provider Directory

Locations

1275 E Fort Union Blvd
#118
Midvale, UT 84047
Phone (801) 748-0580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1760415483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E 9400 S",
            "address_2": "SUITE C",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945514",
            "telephone_number": "801-748-0580",
            "fax_number": "801-748-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E 9400 S",
            "address_2": "SUITE C",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945514",
            "telephone_number": "801-748-0580",
            "fax_number": "801-748-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN INSTITUTE OF UTAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "HADJBIAN",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-748-0580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "52665561205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529967032004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.