Active NPI
Susan Abu-Khalaf, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Salt Lake City, UT
National Provider Identifier
1891906541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 5747023-1205
- Practice address
- 470 East 3900 South
#200
Salt Lake City, UT 84107-2332 - Phone
- (801) 747-2800
- Fax
- (801) 747-3022
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 5747023-1205 | UT | Primary |
Addresses
Primary practice location
470 East 3900 South
#200
Salt Lake City, UT 84107-2332
Mailing address
PO Box 571800
Murray, UT 84157-1800
Phone (801) 747-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1891906541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571800",
"city": "MURRAY",
"state": "UT",
"postal_code": "841571800",
"telephone_number": "801-747-2800",
"fax_number": "801-747-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 EAST 3900 SOUTH",
"address_2": "#200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072332",
"telephone_number": "801-747-2800",
"fax_number": "801-747-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU-KHALAF",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "UT",
"license": "5747023-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.