PEGAH AFRA (NPI# 1144376831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144376831 |
| Entity Type | Individual |
| Full Name | PEGAH AFRA |
| Credential | M.D. |
| Practice Address |
Department of Neurology 175 North Medical Salt Lake City UT 84132-0001 |
| Mailing Address |
175 North Medical Drive East, 5th Floor Salt Lake City UT 84132 |
| Practice Telephone | 8015852886 |
| Mailing Telephone | (608) 213-1458 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
6755983-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
DEPARTMENT OF NEUROLOGY 175 NORTH MEDICAL |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720648744 | Carepoint Health, LLC | Psychiatry & Neurology | St. Mark's Hospital, 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-20 |
| 1801273743 | Michael Cline | Psychiatry & Neurology | 825 E 1700 S, Salt Lake City, UT 84105-3225 | 2015-04-29 |
| 1619219847 | Mark Waheed | Psychiatry & Neurology | The University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2013-03-26 |
| 1568707586 | Kyle Mahoney | Psychiatry & Neurology | 175 N Medical Drive E 3rd Floor, Salt Lake City, UT 84132 | 2012-12-03 |
| 1699076224 | Angela Yvonne Peters | Psychiatry & Neurology | University of Utah Dept of Neurology, 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2010-11-12 |
| 1568697514 | Safdar Abbas Ansari | Psychiatry & Neurology | 175 N Medical Dr E Rm 3130, University of Utah, Clinical Neuroscience Center, Salt Lake City, UT 84132-0001 | 2009-05-20 |
| 1427235001 | Kevin Alan Walker | Psychiatry & Neurology | 440 D St Ste 200, Salt Lake City, UT 84103-2827 | 2008-01-26 |
| 1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
| 1831271352 | Sharon Mae Weinstein | Psychiatry & Neurology | Veterans Affairs Slchcs, 500 Foothill Blvd - 112, Salt Lake City, UT 84148-0001 | 2006-10-20 |
| 1164517009 | Mark B. Bromberg | Psychiatry & Neurology | 30 N 1900 E Som # 3r210, Salt Lake City, UT 84132-0001 | 2006-10-04 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
Please comment or provide details below to improve the information on PEGAH AFRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.