DR. NITIN B CHANDRAMOULI


Address: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466
Phone: 8012690231

DR. NITIN B CHANDRAMOULI (NPI# 1801845730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801845730
Entity Type Individual
Full Name DR. NITIN B CHANDRAMOULI
Credential MD
Practice Address 3838 S 700 E
Suite 100
Salt Lake City
UT 84106-1466
Mailing Address 1121 E 3900 S
Ste C240
Salt Lake City
UT 84124-2202
Practice Telephone 8012690231
Practice Fax Number 8012690304
Mailing Telephone 8012660878
Mailing Fax Number 8012662074
Enumeration Date 2006-05-08
Last Update Date 2016-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
374569-1205 UT Allopathic & Osteopathic Physicians
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
374569-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT SELECT HEALTH 107011545101 01

Office Location

Street Address 3838 S 700 E
SUITE 100
City SALT LAKE CITY
State UT
Zip Code 84106-1466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578561072 Arun V Bidwai Anesthesiology 3838 S 700 E, Salt Lake City, UT 84106-1496 2005-07-08
1720527245 Helen Powell Nurse Practitioner 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 2017-02-16
1851840706 Paula Weaver Physician Assistant 3838 S 700 E, Salt Lake City, UT 84106-1466 2016-10-03
1346644135 Deborah Hatch Physician Assistant 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 2014-10-22
1770836397 Scott William Hadfield Physician Assistant 3838 S 700 E, Suite 300a, Salt Lake City, UT 84106-1466 2012-10-19
1417253907 Omega Interventional Pain Pllc Anesthesiology 3838 S 700 E, Ste 300, Salt Lake City, UT 84106-1466 2011-02-01
1336442680 Anita Mcdonald Nurse Practitioner 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 2010-12-08
1548599814 Shauna Olsen Nurse Practitioner 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 2009-12-16
1376773556 Kristin Elizabeth Barber Nurse Practitioner 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 2009-07-21
1164666327 Keri Lynn Fakata Pharmacist 3838 S 700 E, Suite 200, Salt Lake City, UT 84106-1466 2009-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1558919142 University of Utah Pharmacy 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 2019-08-28
1588174064 Aaron Potts Naturopath 1945 1100 E, #100, Salt Lake City, UT 84106 2017-10-10
1801335005 Gretchen Dennison Nurse Practitioner 2138 S Highland Dr, Salt Lake City, UT 84106 2017-02-21
1376095794 Jeannette Daneals Naturopath 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 2016-11-02
1073908703 Tracey Steinmetz Massage Therapist 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 2015-03-31
1275949091 Amy Deforest Edwards Counselor Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 2014-07-02
1194138636 Hillary Lowe Taggart Nurse Practitioner 3369 S Highland Dr, Salt Lake City, UT 84106 2014-06-03
1487086617 Herald R. Clark, Dds Dentist 3643 S. Highland Drive, Salt Lake City, UT 84106 2013-07-30
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073875308 Mei Wei Internal Medicine 201 Presidents Cir, Salt Lake City, UT 84112-9049 2012-06-12
1235556382 Bradley Hunter Internal Medicine 8th Ave and C Street, Salt Lake City, UT 84143-0001 2014-03-26
1679867477 Health Services Inc Internal Medicine 8 Th Avenue & C St, Salt Lake City, UT 84143-0001 2011-06-09
1831480771 Conan Grant Kinsey Internal Medicine 2000 Circle of Hope, Salt Lake City, UT 84112 2011-04-26
1871734038 Catherine Joy Lee Internal Medicine 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 2009-03-18
1467608554 Ignacio Garrido-laguna Internal Medicine 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 2008-08-08
1083827455 Kenneth Frederick Grossmann Internal Medicine 2000 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 2007-05-08
1568547255 Saundra S Buys Internal Medicine 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 2006-10-25
1346330966 Wallace Lovell Akerley IIi Internal Medicine 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 2006-10-13
1104916709 Martha Jane Glenn Internal Medicine 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 2006-10-13
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Competitor

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City SALT LAKE CITY
Zip Code 84106

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Dataset Information

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.

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