Rezvani, Maryam

Rezvani, Maryam is an individual health care provider with primary practice located at 30 North 1900 East #1A71, Salt Lake City UT 84132. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Rezvani, Maryam can be contacted via phone (801) 581-8699.

Contact Information

Primary practice address
30 North 1900 East #1A71 Salt Lake City UT 84132
Phone: (801) 581-8699
Fax: (801) 581-2414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 65868131205 Utah
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 036-115412 Illinois
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 01060592A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 6586813-1205 Utah

Profile Details

NPI number 1770701542
LBN Legal business name Rezvani, Maryam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 15th, 2021 - about 3 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.

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