Douglas Gavin Kondo in Salt Lake City - Child & Adolescent Psychiatry
Douglas Gavin Kondo - NPI 1083703284
Douglas Gavin Kondo is a Child & Adolescent Psychiatry in Salt Lake City, Utah. Douglas Gavin Kondo practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Douglas Gavin Kondo is 1083703284. The last update date is 2023-03-07.
Douglas Gavin Kondo's current location address is 501 S Chipeta Way, Salt Lake City, Utah. You can contact this provider via phone number 8015851575. The mailing address for Douglas Gavin Kondo is 501 S Chipeta Way, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Gavin Kondo |
|---|---|
| Address | 501 S Chipeta Way, Salt Lake City, Utah |
| Phone Number | 8015851575 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083703284 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 501 S Chipeta Way |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841081222 |
| Phone Number | 8015851575 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 6313601-1205 |
|
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11725447 | UT | CAQH NUMBER | |
| 6313601-1205 | UT | UTAH MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Gavin Kondo by the Centers for Medicare & Medicaid Services?
The Douglas Gavin Kondo has been assigned the NPI (National Provider Identifier) 1083703284. 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 address where Douglas Gavin Kondo is physically located?
The Douglas Gavin Kondo is situated at the following address: 501 S Chipeta Way, Salt Lake City, UT 841081222.
What is Douglas Gavin Kondo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Douglas Gavin Kondo is Child & Adolescent Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0804X.
On what date was the 1083703284 assigned to Douglas Gavin Kondo?
The Douglas Gavin Kondo was issued its 1083703284 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Douglas Gavin Kondo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas Gavin Kondo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
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