Komal Rastogi
PHYSICIAN GROUP OF UTAH INC


Address: 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141
Phone: 8017737500

Komal Rastogi (NPI# 1063774669, PAC ID# 4082906342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1063774669
PAC ID by PECOS 4082906342
Professional Enrollment ID I20190102001980
Full Name Komal Rastogi
Organization Legal Name PHYSICIAN GROUP OF UTAH INC
Address 1492 W Antelope Dr
Suite 203
Layton
UT 84041-1141
Phone Number 8017737500
Gender M
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty NEUROLOGY
Group Practice PAC ID 8022032234
Number of Group Practice Members 163
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460041 DAVIS HOSPITAL AND MEDICAL CENTER
460004 MCKAY DEE HOSPITAL

Other Locations

Address Phone Organization
1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 8017737500 PHYSICIAN GROUP OF UTAH INC
3580 W 9000, West Jordan, UT 84088-8812 8015618888 PHYSICIAN GROUP OF UTAH INC

Organization Information

Organization Legal Name PHYSICIAN GROUP OF UTAH INC
Physicians 141

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Wesley Deans Neurology Physician Group of Utah Inc 3590 W 9000, Suite 240, West Jordan, UT 84088-8864
Tamiyah Dinh Nurse Practitioner Physician Group of Utah Inc 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362
Nicholas M Noble Family Medicine Physician Group of Utah Inc 349 N Flint St, Suite 101, Kaysville, UT 84037-9808
Robert W Engelen Sports Medicine Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072
Mitchell Taylor Peterson Physical Therapy Physician Group of Utah Inc 1840 S 1300, Salt Lake City, UT 84105-3617
Patricia L Judson Obstetrics/gynecology Physician Group of Utah Inc 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073
Laura Chelu Obstetrics/gynecology Physician Group of Utah Inc 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703
Andrew Benjamin Ward Physician Assistant Physician Group of Utah Inc 3000 N Triumph Blvd, Lehi, UT 84043-4999
Nancy Lieu Clinical Social Worker Physician Group of Utah Inc 2530 W 4700 S, Salt Lake City, UT 84118-1865
Virginia J Homewood Obstetrics/gynecology Physician Group of Utah Inc 3580 W 9000, West Jordan, UT 84088-8812

Office Location

Street Address 1492 W ANTELOPE DR
SUITE 203
City LAYTON
State UT
Zip 84041-1141

Physicians in the same location

Name Specialty Organization Address
Casey J Thomas General Surgery Salt Lake Surgical Services Pllc 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139
Wade B Larsen General Surgery Salt Lake Surgical Services Pllc 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139
Jesua Israel Law Orthopedic Surgery Hofmann Arthritis Institute Pllc 1492 W Antelope Dr, Suite 110, Layton, UT 84041-1151
Jason M Stinnett Medical Oncology Utah Cancer Specialists PC 1492 W Antelope Dr, Suite 125, Layton, UT 84041-1274

Physicians in the same zip code

Name Specialty Organization Address
Brian H Morgan Physical Medicine and Rehabilitation Alpine Spine Sports and Rehabilitation LLC 1916 N 700 W, Suite 250, Layton, UT 84041
Douglas T Shepherd Physical Medicine and Rehabilitation Alpine Spine Sports and Rehabilitation LLC 1916 N 700 W, Suite 250, Layton, UT 84041
Scott K Thompson Plastic and Reconstructive Surgery Utah Plastic Surgery LLC 2255 N 1700, Suite 205, Layton, UT 84041-1119
Douglas Kimball Henstrom Plastic and Reconstructive Surgery Utah Plastic Surgery LLC 2255 N 1700, Suite 205, Layton, UT 84041-1119
Rod Thornley Clinical Social Worker Davis Behavioral Health Inc 2250 N 1700, Layton, UT 84041-1140
Michael Washburn Ophthalmology Michael D Washburn, M.d. 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140
Heather L Bernard Nurse Practitioner Davis Behavioral Health Inc 2250 N 1700, Layton, UT 84041-1140
Callie A Murray Clinical Social Worker Davis Behavioral Health Inc 2250 N 1700, Layton, UT 84041-1140
Tracey W Jones Clinical Social Worker Davis Behavioral Health Inc 2250 N 1700, Layton, UT 84041-1140
Christopher M Lang Psychiatry Davis Behavioral Health Inc 2250 N 1700, Layton, UT 84041-1140
Find all physicians in zip 84041

Competitor

Search similar physicians

City LAYTON
Zip Code 84041
Specialty NEUROLOGY
City + Specialty LAYTON + NEUROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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