Healthcare Provider Details

I. General information

NPI: 1144896432
Provider Name (Legal Business Name): MASON ARBABI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AMIRMOSHSEN ARBABI MD

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY UT
84112
US

IV. Provider business mailing address

30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY UT
84112
US

V. Phone/Fax

Practice location:
  • Phone: 801-587-9650
  • Fax:
Mailing address:
  • Phone: 801-587-9650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number14277837-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number59951
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: