Wadhvania, Sam Wade

Wadhvania, Sam Wade is an individual health care provider with primary practice located at 1200 E 3900 S Suite 4B, Salt Lake City UT 84124-1300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wadhvania, Sam Wade can be contacted via phone (866) 500-7071.

Contact Information

Primary practice address
1200 E 3900 S Suite 4B Salt Lake City UT 84124-1300
Fax: (866) 500-7081
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 6405008-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 420995 Pennsylvania

Profile Details

NPI number 1386641249
LBN Legal business name Wadhvania, Sam Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Mar 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386641249 NPPES
Pennsylvania MEDICAID 1009459080001

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