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
Phone: (866) 500-7071
Fax: (866) 500-7081
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641249 | NPPES |
| Pennsylvania | MEDICAID | 1009459080001 |
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