Rastogi, Komal

Rastogi, Komal is an sole proprietor health care provider with primary practice located at 2965 W 3500 S , West Valley City UT 84119-3602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rastogi, Komal can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
2965 W 3500 S West Valley City UT 84119-3602
Phone: (801) 965-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME166731 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD219186 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD61523148 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10714567-1205 Utah

Profile Details

NPI number 1063774669
LBN Legal business name Rastogi, Komal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Jul 11th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063774669 NPPES
Utah MEDICAID 3007519

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