Soowhan Lah (NPI# 1003128760, PAC ID# 7517199201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1003128760 |
| PAC ID by PECOS | 7517199201 |
| Professional Enrollment ID | I20180124001308 |
| Full Name | Soowhan Lah |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Address |
1200 E 3900 Salt Lake City UT 84124-1300 |
| Phone Number | 5619970821 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | INTERNAL MEDICINE, PULMONARY DISEASE |
| Group Practice PAC ID | 0244269413 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460052 | TIMPANOGOS REGIONAL HOSPITAL |
| 460013 | MOUNTAIN VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 750 W 800, Orem, UT 84057-3660 | 8017835011 | SANTIBANEZ AGUIRRE PC |
| 1200 E 3900, Salt Lake City, UT 84124-1300 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Physicians | 219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Jacklyn Reyes Pancrudo | Internal Medicine | Intensive Care Consortium Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Ali Ashraf | Pulmonary Disease | Intensive Care Consortium Inc | 700 W Oak St, Kissimmee, FL 34741-4996 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Shawn W Blouin | Nurse Practitioner | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Gina Marie Iacovella | Critical Care (intensivists) | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Rajiv Malhotra | Pulmonary Disease | Intensive Care Consortium Inc | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Azzat Abdulghani Ali | Critical Care (intensivists) | Intensive Care Consortium Inc | 9330 State Rd, Suite 54, Trinity, FL 34655-1808 |
| Geoffrey Andrew Loh | Critical Care (intensivists) | Intensive Care Consortium Inc | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Rachael L Sargent | Nurse Practitioner | Intensive Care Consortium Inc | 333 Borthwick Ave, Portsmouth, NH 03801-4198 |
| Street Address |
1200 E 3900 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84124-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew L Peterson | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| O Layton Alldredge Jr. | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Edward Reese | Family Medicine | Santibanez Aguirre PC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Jonathan E Middlemiss | Physician Assistant | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Kaydon J Lloyd | Physician Assistant | Salt Lake Trauma Specialists Pllc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Kevin J Colver | Internal Medicine | Santibanez Aguirre PC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Dennis Morris | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Nathan B Eliason | Pathology | Anatomic Pathology Associates | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Thomas W Engar | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Tyler Lee Evans | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Jan B Bernhisel-broadbent | Allergy/immunology | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Nathan Grant Adams | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Sarah Elaine Kaihau | Nurse Practitioner | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Timothy Champlin | Clinical Social Worker | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Find all physicians in zip 84124 | |||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | SALT LAKE CITY + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Soowhan Lah.
| 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.