MEDICARE: INTERMOUNTAIN NEUROLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	260615	UT

General Provider Information

NPI Number	:	1477540870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERMOUNTAIN NEUROLOGY

Provider Business Mailing Address
First Line	:	PO BOX 1512
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-6512
Country	:	US
Telephone Number	:	801-593-9223
Fax Number	:	801-593-9626

Provider Business Practice Location Address
First Line	:	6112 S 1550 E
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84405-5007
Country	:	US
Telephone Number	:	801-475-7707
Fax Number	:	801-475-7322

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAHAN IMANI
Credential	:	MD
Telephone Number	:	801-475-7707

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1093702003 — GRACE M O'BRIEN DO
Practice Location Address:

6112 S 1550 E
SOUTH OGDEN, UT
84405-5007

Practice Phone: 801-475-3800
Practice Fax: 801-475-3801

1932197084 — ROXINA FISCHER FNP-C
Practice Location Address:

6112 S 1550 E
SOUTH OGDEN, UT
84405-5007

Practice Phone: 801-475-3800
Practice Fax: 801-475-3801

1679764989 — MR. DAVID H PETERSEN LCSW
Practice Location Address:

6112 S 1550 E
OGDEN, UT
84405-5007

Practice Phone: 801-589-5251
Practice Fax:

1386876530 — TYLER J D'HULST PA-C
Practice Location Address:

6112 S 1550 E
OGDEN, UT
84405-5007

Practice Phone: 801-475-3800
Practice Fax: 801-475-3801

1477812949 — MOUNTAIN VIEW FOOT AND ANKLE INSTITUTE PC
Practice Location Address:

6112 S 1550 E STE 201
OGDEN, UT
84405-5007

Practice Phone: 801-479-7505
Practice Fax: 801-475-1855

1124401443 — STRUCTURA BODY THERAPIES, LLC
Practice Location Address:

6112 S 1550 E , 203
SOUTH OGDEN, UT
84405-5007

Practice Phone: 801-897-8711
Practice Fax: 801-475-1795

Directions to “INTERMOUNTAIN NEUROLOGY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.