Active NPI
Mark Alan Rada
- Internal Medicine Physician
- Sandy, UT
National Provider Identifier
1942516059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 364209-8905
- Legal business name
- MARK ALAN RADA
- Practice address
- 8074 S 1300 E
Sandy, UT 84094-0743 - Phone
- (801) 565-6500
- NPI assigned
- Aug 26, 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
- Mark Alan Rada, M.D.
- Title
- Sole Member
- Phone
- (801) 572-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 364209-8905 | UT | Primary |
Addresses
Primary practice location
8074 S 1300 E
Sandy, UT 84094-0743
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282780800000",
"number": "1942516059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110307",
"telephone_number": "801-294-6907",
"fax_number": "801-294-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 S 1300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840940743",
"telephone_number": "801-565-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK ALAN RADA",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A",
"authorized_official_last_name": "RADA",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "801-572-0311",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "UT",
"license": "364209-8905",
"primary": true
}
],
"identifiers": [],
"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 Aug 26, 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.