MEDICARE: DR. EDWARD Y ZAMRINI MD

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	2084N0400X	Neurology Physician	6078441-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000092957	OTHER	UT	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578587895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD Y ZAMRINI MD

Provider Business Mailing Address
First Line	:	650 KOMAS DR STE 106A
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1225
Country	:	US
Telephone Number	:	801-585-6546
Fax Number	:	801-581-2483

Provider Business Practice Location Address
First Line	:	729 ARAPEEN DR
Second Line	:	CAMT BUILDING, RESEARCH PARK
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1218
Country	:	US
Telephone Number	:	801-585-6387
Fax Number	:	801-585-2746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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