MEDICARE: KASHIF A MEMON MD

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	207RI0200X	Infectious Disease Physician	4914584-1205	UT
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	4914584-1205	UT
3	207R00000X	Internal Medicine Physician	4914584-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932161668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASHIF A MEMON MD

Provider Business Mailing Address
First Line	:	PO BOX 800022
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-0022
Country	:	US
Telephone Number	:	800-953-0104
Fax Number	:	303-765-6670

Provider Business Practice Location Address
First Line	:	3570 W 9000 S STE 100
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-8871
Country	:	US
Telephone Number	:	801-903-5620
Fax Number	:	385-351-6718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	12/18/2025

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Directions to “ KASHIF A MEMON MD” Practice Location

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