Provider Demographics
NPI:1083685796
Name:ASLAMI, AMIE JO (MD)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:JO
Last Name:ASLAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:JO
Other - Last Name:HUANG-ASLAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2940 ACORN LN
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-2017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7434 S STATE ST
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2014
Practice Address - Country:US
Practice Address - Phone:801-245-9283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2084P0800X2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT002200214OtherRAILROAD MEDICARE
UT107007834101OtherINTERMOUNTAIN HEALTH CARE
UT942938348AS1OtherEDUCATORS MUTUAL
UT314543OtherDESERET MUTUAL
UTH45265OtherMEDICARE ADVANTAGE PLUS
UTH45265OtherMEDICARE ADVANTAGE PLUS
UT314543OtherDESERET MUTUAL