SARMISHTA DIRAVIAM KANNAN

SALT LAKE CITY, UT
NPI1831828102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  14245981-1205)
Enumeration Date2022-06-10
Last Update Date2025-10-29
Business Address
SARMISHTA DIRAVIAM KANNAN MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 978-376-5797
Mailing Address
SARMISHTA DIRAVIAM KANNAN MD
295 S CHIPETA WAY RM 2S010
SALT LAKE CITY, UT 84108-1287
Phone number: 801-581-2121
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