MEDICARE: PROF. DORENE K SAMBADO M.D.

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	174400000X	Specialist	88178936	UT

General Provider Information

NPI Number	:	1750342754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. DORENE K SAMBADO M.D.

Provider Business Mailing Address
First Line	:	508 E SOUTH TEMPLE
Second Line	:	STE. 300
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1013
Country	:	US
Telephone Number	:	801-524-4500
Fax Number	:	801-359-1665

Provider Business Practice Location Address
First Line	:	508 E SOUTH TEMPLE
Second Line	:	STE. 300
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1013
Country	:	US
Telephone Number	:	801-524-4500
Fax Number	:	801-359-1665

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346219243 — MS. SALLY SUE BURGIN MSW/LCSW
Practice Location Address:

508 E SOUTH TEMPLE , #A 30
SALT LAKE CITY, UT
84102-1013

Practice Phone: 801-537-5008
Practice Fax: 801-355-5132

1760439574 — MS. KATHLEEN CONNOLE RODMAN APRN
Practice Location Address:

508 E SOUTH TEMPLE , STE 205
SALT LAKE CITY, UT
84102-1013

Practice Phone: 801-596-0100
Practice Fax: 801-596-8800

1114010717 — AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.
Practice Location Address:

508 E SOUTH TEMPLE , STE 203
SALT LAKE CITY, UT
84102-1013

Practice Phone: 801-364-8692
Practice Fax: 801-364-0807

1518051655 — DR. JAMES C STOVER D.D.S
Practice Location Address:

508 E SOUTH TEMPLE , 114
SALT LAKE CITY, UT
84102-1013

Practice Phone: 801-322-5032
Practice Fax:

1538281050 — DR. ALAN N LINDSAY M.D.
Practice Location Address:

508 E SOUTH TEMPLE , SUITE 310
SALT LAKE CITY, UT
84102-1013

Practice Phone: 801-355-4316
Practice Fax: 801-355-6267

1205041894 — SIDNE JONES
Practice Location Address:

508 E SOUTH TEMPLE , SUITE 206
SALT LAKE CITY, UT
84102-1013

Practice Phone: 801-355-1723
Practice Fax: 801-355-1748

Directions to “ PROF. DORENE K SAMBADO M.D.” 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.