Provider Demographics
NPI:1083699144
Name:YANOWITZ, FRANK G (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:YANOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8TH AVE & C ST
Mailing Address - Street 2:LDS HOSPITAL
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84143-0001
Mailing Address - Country:US
Mailing Address - Phone:801-408-5302
Mailing Address - Fax:801-408-1229
Practice Address - Street 1:8TH AVE & C ST
Practice Address - Street 2:LDS HOSPITAL
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84143-0001
Practice Address - Country:US
Practice Address - Phone:801-408-5302
Practice Address - Fax:801-408-1229
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1558651205207RG0300X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C63866Medicare UPIN
UT006900601Medicare PIN