Healthcare Provider Details

I. General information

NPI: 1083699144
Provider Name (Legal Business Name): FRANK G YANOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8TH AVE & C ST LDS HOSPITAL
SALT LAKE CITY UT
84143-0001
US

IV. Provider business mailing address

8TH AVE & C ST LDS HOSPITAL
SALT LAKE CITY UT
84143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 801-408-5302
  • Fax: 801-408-1229
Mailing address:
  • Phone: 801-408-5302
  • Fax: 801-408-1229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number1558651205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number1558651205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: