Gohari, Mina
Gohari, Mina is an individual health care provider with primary practice located at 1160 E 3900 S Ste G200, Salt Lake City UT 84124-1202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gohari, Mina can be contacted via phone (801) 268-7766.Contact Information
Primary practice address
1160 E 3900 S Ste G200
Salt Lake City UT 84124-1202
Phone: (801) 268-7766
Fax: (201) 270-3395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 4301088182 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7711982-1205 | Utah |
Profile Details
| NPI number | 1083824940 |
|---|---|
| LBN Legal business name | Gohari, Mina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Nov 25th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083824940 | NPPES |
| Utah | Other | 000057838 | PTAN |
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