Provider Demographics
NPI:1790716439
Name:KEVAL, AZIZA O (MD)
Entity Type:Individual
Prefix:
First Name:AZIZA
Middle Name:O
Last Name:KEVAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3665 S 8400 W
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MAGNA
Mailing Address - State:UT
Mailing Address - Zip Code:84044-4907
Mailing Address - Country:US
Mailing Address - Phone:801-250-9638
Mailing Address - Fax:801-250-3204
Practice Address - Street 1:3665 S 8400 W
Practice Address - Street 2:SUITE 110
Practice Address - City:MAGNA
Practice Address - State:UT
Practice Address - Zip Code:84044-4907
Practice Address - Country:US
Practice Address - Phone:801-250-9638
Practice Address - Fax:801-250-3204
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-07-15
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Provider Licenses
StateLicense IDTaxonomies
UT163276-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine