KORAIMA MOREL TIRADO


Address: 1035 W 190 S, Lehi, UT 84043-3833
Phone: 2522920037

KORAIMA MOREL TIRADO (NPI# 1154973576) 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) 1154973576
Entity Type Individual
Full Name KORAIMA MOREL TIRADO
Practice Address 1035 W 190 S
Lehi
UT 84043-3833
Practice Telephone 2522920037
Mailing Telephone 2522920037
Enumeration Date 2019-07-15
Last Update Date 2019-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 87863 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT DRIVERS LIC. 227885472 01

Office Location

Street Address 1035 W 190 S
City LEHI
State UT
Zip Code 84043-3833

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366056269 Dry Creek Integrative Medical LLC General Practice 3300 N Running Creek Way Bldg E, Lehi, UT 84043-5563 2020-09-08
1285998484 Jordan Robert Harris General Practice 680 E Main St Ste 201, Lehi, UT 84043-2251 2012-07-02
1407030604 Richard B Sampson General Practice 127 E Main St, Suite E, Lehi, UT 84043-2288 2007-12-24

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Competitor

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City LEHI
Zip Code 84043

Improve Information

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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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