KEYHAN KOOHGIVI


Address: 2566 East Sage Way, Salt Lake City, UT 84109
Phone: 8015573889

KEYHAN KOOHGIVI (NPI# 1235449984) 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) 1235449984
Entity Type Individual
Full Name KEYHAN KOOHGIVI
Credential RPH
Practice Address 2566 East Sage Way
Salt Lake City
UT 84109
Practice Telephone 8015573889
Mailing Telephone 8015573889
Enumeration Date 2010-10-15
Last Update Date 2010-10-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
131944-1701 UT Pharmacy Service Providers

Office Location

Street Address 2566 EAST SAGE WAY
City SALT LAKE CITY
State UT
Zip Code 84109

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NPI Name Taxonomy Address Enumeration
1871102095 Aimee Hadfield Social Worker Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 2020-07-23
1245877448 Carla Lucile Applegate-anderson Nurse Practitioner 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 2019-12-06
1063991982 Madison Sanderson Physical Therapist 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 2018-08-10
1023545951 Tyler Dale Hanks Dentist 2435 E 3300 S, Suite 101, Millcreek, UT 84109 2017-05-23
1992198881 Cynthia R Thorpe Marriage & Family Therapist 2624 East Mount Crest Drive, Salt Lake City, UT 84109 2015-03-17
1104247295 John Paul Lapine Dentist 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 2013-12-17
1073850301 Weston J Horne Massage Therapist 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 2013-01-07
1538415138 Dominic Falsone Counselor 3846 Villa Dr, Salt Lake City, UT 84109 2012-08-01
1487926341 Richard R Flynn Pediatrics 2342 Dallin St., Salt Lake City, UT 84109 2012-02-07
1619295359 Fiona Ying Nurse Practitioner 3300 S 3090 E Suite 400, Salt Lake City, UT 84109 2010-05-05
Find all providers in zip 84109

Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841379005 Christine Vasquez Allen Pharmacist 3450 Westwood Dr, Salt Lake City, UT 84109-3239 2006-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265963573 Kirtland J. Wray Pharmacist 1859 S 580 W, Woods Cross, UT 84087-1644 2017-03-27
1164912374 Jaron Andrew Stout Pharmacist 1015 E 100 N, Logan, UT 84321-4873 2018-05-14
1639489461 Munir M Merchant Pharmacist 5235 Greenpine Dr, Murray, UT 84123 2010-10-14
1366618134 Rebecca Ann Leavitt Pharmacist 1333 N Main St, Cedar City, UT 84720-9113 2008-05-01

Competitor

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City SALT LAKE CITY
Zip Code 84109

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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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