Provider Demographics
NPI:1619395332
Name:ASERLIND, MEENA MIRDAMADI (MD)
Entity Type:Individual
Prefix:DR
First Name:MEENA
Middle Name:MIRDAMADI
Last Name:ASERLIND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1887 AARON DR STE B
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-8138
Mailing Address - Country:US
Mailing Address - Phone:435-775-9973
Mailing Address - Fax:435-775-9985
Practice Address - Street 1:196 E 2000 N STE 101
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074
Practice Address - Country:US
Practice Address - Phone:435-843-3678
Practice Address - Fax:435-843-7181
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT10618642-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology