Provider Demographics
NPI:1578587895
Name:ZAMRINI, EDWARD Y (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:Y
Last Name:ZAMRINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 KOMAS DR STE 106A
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1225
Mailing Address - Country:US
Mailing Address - Phone:801-585-6546
Mailing Address - Fax:801-581-2483
Practice Address - Street 1:729 ARAPEEN DR
Practice Address - Street 2:CAMT BUILDING, RESEARCH PARK
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1218
Practice Address - Country:US
Practice Address - Phone:801-585-6387
Practice Address - Fax:801-585-2746
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6078441-12052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000092957OtherBLUE CROSS
UT000092957Medicaid
UTH05181Medicare UPIN
UT000092957Medicaid