Tala'At Al-Shuqairat, MD
Internal Medicine, Pulmonary Disease in Salem, UT. Individual provider (NPI-1).
NPI number1104875574
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1104875574
- Entity type
- Individual (NPI-1)
- Name
- Tala'At Al-Shuqairat
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2006
- Certification date
- Feb 24, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 60083151205 | UT | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 60083151205 | UT | |
| 207RS0012X | Internal Medicine, Sleep Medicine | 60083151205 | UT |
Practice location
555 W Sr 164Salem, UT 84653-1666
Phone 801-465-4813 · Fax 801-812-5433
Mailing address
1055 N 500 WAttn: Credentialing
Provo, UT 84604-3305
Phone 801-354-8225 · Fax 801-418-0941
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