Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | BP1-0046320 | TX |
Y | 2080P0202X | Pediatric Cardiologist | 9710820-1205 | UT |
NPI | 1225479082 |
---|---|
Provider Name | Priyanka Asrani |
First Address | Salt Lake City, UT 84113-1125 |
Second Address | Salt Lake City, UT 84113-1125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 23/06/2016 |