Organization Active NPI

Kidney and Internal Medicine

  • Nephrology Physician
  • West Jordan, UT
National Provider Identifier
1902136013
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
51624871205 Issued in UT
Legal business name
KIDNEY AND INTERNAL MEDICINE
Practice address
1561 W 7000 S
Suite 100
West Jordan, UT 84084-3556
Phone
(801) 542-7115
Fax
(801) 352-0400
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Nazia Junejo, MD
Title
Owner
Phone
(801) 542-7115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 51624871205 UT Primary

Addresses

Primary practice location

1561 W 7000 S
Suite 100
West Jordan, UT 84084-3556

Mailing address

1561 W 7000 S
Suite 100
West Jordan, UT 84084-3556
Phone (801) 352-2700

National Provider Directory

National Provider Directory

Locations

1212 N Main St
Tooele, UT 84074
Phone (435) 249-0554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1902136013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S",
            "address_2": "SUITE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-352-2700",
            "fax_number": "801-352-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S",
            "address_2": "SUITE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-542-7115",
            "fax_number": "801-352-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "JUNEJO",
        "authorized_official_first_name": "NAZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-542-7115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "51624871205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.