Shestakova, Ganna

Shestakova, Ganna is an individual health care provider with primary practice located at 15 N Medical Dr Ste 1100 , Salt Lake City UT 84112-1100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Shestakova, Ganna can be contacted via phone (801) 583-2787.

Contact Information

Primary practice address
15 N Medical Dr Ste 1100 Salt Lake City UT 84112-1100
Phone: (801) 583-2787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 12256633-1205 Utah
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 12256633-1205 Utah

Profile Details

NPI number 1164877544
LBN Legal business name Shestakova, Ganna
Credentials M.D. PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated Jul 8th, 2022 - about 2 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.

Request for update

Popular Providers