Rumika Imdad, DDS
Student in an Organized Health Care Education/Training Program in South Jordan, UT. Individual provider (NPI-1).
Details
- NPI
- 1124876958
- Entity type
- Individual (NPI-1)
- Name
- Rumika Imdad
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
10894 S River Front PkwySouth Jordan, UT 84095-5609
Phone 801-878-1200
Mailing address
1061 Methven CtHerndon, VA 20170-2354
Phone 703-939-7921
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in South Jordan, UT
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All 38 Student in an Organized Health Care Education/Training Program providers in South Jordan · All 1,565 providers in South Jordan
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