Dr. Emad Mowaffag A Albayouk, MBBS
Internal Medicine in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1629575410
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1629575410
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emad Mowaffag A Albayouk
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Last updated
- Sep 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 11390538-1205 | UT | Yes |
Practice location
30 N 1900 E Rm 4c116Salt Lake City, UT 84132-0002
Phone 801-581-7899
Mailing address
30 N 1900 E Rm 4c116Salt Lake City, UT 84132-0002
Phone 801-581-7606
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