Healthcare Provider Details

I. General information

NPI: 1750335907
Provider Name (Legal Business Name): SANJEEV TREHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 09/29/2026
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 HARRISON BLVD STE 3400
OGDEN UT
84403-3281
US

IV. Provider business mailing address

4403 HARRISON BLVD STE 3400
OGDEN UT
84403-3281
US

V. Phone/Fax

Practice location:
  • Phone: 801-387-3400
  • Fax:
Mailing address:
  • Phone: 801-387-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number22276
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number22276
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number276504-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: