Basic Information
Provider Information
NPI: 1659386357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FAIZI
FirstName: SAJID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 175B CONNOR ST
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 841135002
CountryCode: US
TelephoneNumber: 8018601837
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF UTAH, DEPARTMENT OF PSYCHIATRY
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 84113
CountryCode: US
TelephoneNumber: 8015814096
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/30/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X5614842-1205UTY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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