Avicenna Pc is a Specialist in Sandy, Utah. Avicenna Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Avicenna Pc is 1952475410. The last update date is 2008-07-28.
Avicenna Pc's current location address is 8706 S 700 E, Sandy, Utah. You can contact this provider via phone number 8019426000 and fax number 8017484069. The mailing address for Avicenna Pc is 8706 S 700 E, Sandy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avicenna Pc |
|---|---|
| Address | 8706 S 700 E, Sandy, Utah |
| Phone Number | 8019426000 |
| Fax Number | 8017484069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Voitanik Simon |
| Credentials | M.D. |
| Telephone Number | 8019426000 |
NPI Number Detail
| NPI Number | 1952475410 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | 8706 S 700 E |
|---|---|
| City | Sandy |
| State | Utah (UT) |
| Post Code | 840701807 |
| Phone Number | 8019426000 |
| Fax Number | 8017484069 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 2764211205 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59664 | UT | MEDICARE ID-PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Avicenna Pc by the Centers for Medicare & Medicaid Services?
The Avicenna Pc has been assigned the NPI (National Provider Identifier) 1952475410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Avicenna Pc is located?
The Avicenna Pc is situated at the following address: 8706 S 700 E, Sandy, UT, 840701807.
What is Avicenna Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Avicenna Pc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did Avicenna Pc receive its 1952475410 assignment from the Centers for Medicare & Medicaid Services?
The Avicenna Pc was assigned its 1952475410 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Avicenna Pc most recently updated?
The details pertaining to the Avicenna Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-28.