Sires, Mazen
Sires, Mazen is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sires, Mazen can be contacted via phone (801) 357-8310.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 60496111205 | Utah |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 6049611-1205 | Utah |
Profile Details
| NPI number | 1154370765 |
|---|---|
| LBN Legal business name | Sires, Mazen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Apr 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154370765 | NPPES |
| Utah | Other | P00317619 | PALMETTO |
| Utah | Other | 000059004 | PALMETTO |
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