Healthcare Provider Details

I. General information

NPI: 1376498485
Provider Name (Legal Business Name): URVI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2039 E 9400 S
SANDY UT
84093-3100
US

IV. Provider business mailing address

6807 S SNICKERS LN
MIDVALE UT
84047-4769
US

V. Phone/Fax

Practice location:
  • Phone: 801-942-2227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number12168270
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: