Individual provider · NPI-1

Bhagawat Acharya

Nurse Practitioner, Family · Salt Lake City, UT

NPI number1609444603
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1609444603
Entity type
Individual (NPI-1)
Name
Bhagawat Acharya
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2021
Certification date
Sep 21, 2022
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family12944235-4405UTYes
163W00000X Registered Nurse7376490-3102UT

Practice location

5121 S Cottonwood St
Salt Lake City, UT 84107-5701

Phone 801-507-7000

Mailing address

4 E Hanauer Pl
Salt Lake City, UT 84107-3891

Other practice locations

50 N Medical Dr
Salt Lake City, UT 84132-1100

Phone 801-581-2121

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