Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A106154 | CA |
N | 111NI0900X | Internist | A106154 | CA |
Y | 207RN0300X | Nephrologist | 7644960-1205 | UT |
NPI | 1053550509 |
---|---|
Provider Name | Nirupama Ramkumar |
First Address | Salt Lake City, UT 84141-3033 |
Second Address | Salt Lake City, UT 84132-0100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2009 |
Last Update Date | 12/11/2021 |