Organization Active NPI

Mina Neurology Clinic

  • Neurology Physician
  • Layton, UT
National Provider Identifier
1982620738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
97335689-1205 Issued in UT
Legal business name
MINA NEUROLOGY CLINIC
Practice address
1492 W Antelope Dr
Suite 160
Layton, UT 84041-1139
Phone
(801) 773-1111
Fax
(801) 773-5751
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arif Chowdhury, M.D
Title
Owner
Phone
(801) 773-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 97335689-1205 UT Primary

Addresses

Primary practice location

1492 W Antelope Dr
Suite 160
Layton, UT 84041-1139

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (888) 700-6907

National Provider Directory

National Provider Directory

Locations

1492 W Antelope Dr
Ste 160
Layton, UT 84041
Phone (801) 294-5224

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982620738",
    "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": "888-700-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR",
            "address_2": "SUITE 160",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411139",
            "telephone_number": "801-773-1111",
            "fax_number": "801-773-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA NEUROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-773-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "97335689-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.