Healthcare Provider Details

I. General information

NPI: 1780682443
Provider Name (Legal Business Name): KATHRYN MARIE ARBABI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN MARIE MILLER MD

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E 3900 S
SALT LAKE CITY UT
84124-1300
US

IV. Provider business mailing address

PO BOX 749363
ATLANTA GA
30374-9363
US

V. Phone/Fax

Practice location:
  • Phone: 801-268-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number10846473-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: