Healthcare Provider Details
I. General information
NPI: 1518450287
Provider Name (Legal Business Name): ALI I. MORSHID MBCHB
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/07/2018
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 N 1900 E RM 1A071
SALT LAKE CITY UT
84132-0002
US
IV. Provider business mailing address
30 N 1900 E RM 1A071
SALT LAKE CITY UT
84132-0002
US
V. Phone/Fax
- Phone: 801-581-2121
- Fax:
- Phone: 801-581-2121
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | BP10068541 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 13346775-1205 |
| License Number State | UT |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | 13346775-1205 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: