Dr. Amanda M. Tjitro, MD
Obstetrics & Gynecology, Reproductive Endocrinology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1669112652
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1669112652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda M. Tjitro
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VE0102X | Obstetrics & Gynecology, Reproductive Endocrinology | 13521414-1205 | UT | Yes |
| 207V00000X | Obstetrics & Gynecology | 13521414-1205 | UT |
Practice location
Helix: 30 N Mario Capecchi Drive 5s146Salt Lake City, UT 84112
Phone 801-581-2121
Mailing address
Helix: 30 N Mario Capecchi Drive 5s146Salt Lake City, UT 84112
Phone 801-581-2121
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