Provider Demographics
NPI:1952560351
Name:RODAN, AYLIN RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:AYLIN
Middle Name:RACHEL
Last Name:RODAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:85 MEDICAL DR
Mailing Address - Street 2:ROOM 223
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-1100
Mailing Address - Country:US
Mailing Address - Phone:801-585-5215
Mailing Address - Fax:801-581-8934
Practice Address - Street 1:85 MEDICAL DR
Practice Address - Street 2:ROOM 223
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-1100
Practice Address - Country:US
Practice Address - Phone:801-585-5215
Practice Address - Fax:801-581-8934
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2021-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9617207RN0300X
UT10153964-1205207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology