Active NPI
Kidney and Internal Medicine
- Nephrology Physician
- West Jordan, UT
National Provider Identifier
1902136013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 51624871205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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 DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- McDonough, GA
- NPI 1972761732
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.