Aziza O Keval, M.D.

Individual provider Active NPI Family Medicine Physician · Magna, UT

NPI 1790716439 · NPPES record last updated Jul 15, 2010

Key facts

NPI
1790716439
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
163276-1205 (UT)
Practice address
3665 S 8400 W
Suite 110
Magna, UT 84044-4907
Phone
(801) 250-9638
Fax
(801) 250-3204
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163276-1205UTMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 163276-1205 UT Yes

Addresses

Primary practice location

3665 S 8400 W
Suite 110
Magna, UT 84044-4907

Mailing address

3665 S 8400 W
Suite 110
Magna, UT 84044-4907
Phone (801) 250-9638

Other providers in Magna, UT

All providers in Magna, UT · Family Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.