MEDICARE: EKOCARDIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1124983531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EKOCARDIA

Provider Business Mailing Address
First Line	:	50 W BROADWAY STE 325
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84101-2020
Country	:	US
Telephone Number	:	801-203-3302
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 W BROADWAY STE 325
Second Line	:
City	:	SALT LAKE CTY
State	:	UT
Zip	:	84101-2020
Country	:	US
Telephone Number	:	801-203-3302
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. M MARK IBRAHIM
Credential	:	MD, FACC
Telephone Number	:	801-203-3302

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “EKOCARDIA ” Practice Location

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