Provider Demographics
NPI:1568494060
Name:VA HEALTH CARE SYSTEM, SALT LAKE CITY, UT
Entity Type:Organization
Organization Name:VA HEALTH CARE SYSTEM, SALT LAKE CITY, UT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHIT
Authorized Official - Middle Name:BARAN
Authorized Official - Last Name:SARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-582-1565
Mailing Address - Street 1:4324 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2406
Mailing Address - Country:US
Mailing Address - Phone:801-263-3563
Mailing Address - Fax:801-263-3563
Practice Address - Street 1:500 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84148-0001
Practice Address - Country:US
Practice Address - Phone:801-582-1565
Practice Address - Fax:801-584-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5678120-1205284300000X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered284300000XHospitalsSpecial Hospital
Not Answered291U00000XLaboratoriesClinical Medical Laboratory