MEDICARE: ARSALAN NAIYER HABIB 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	4991684-1205	UT
2	207RN0300X	Nephrology Physician	4991684-1205	UT

General Provider Information

NPI Number	:	1942336938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARSALAN NAIYER HABIB M.D.

Provider Business Mailing Address
First Line	:	UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Second Line	:	50 N. MEDICAL DR. RM 4R312
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-0001
Country	:	US
Telephone Number	:	801-281-5996
Fax Number	:	801-281-6713

Provider Business Practice Location Address
First Line	:	1250 E 3900 S STE 410
Second Line	:	ST. MARK'S EAST MEDICAL BUILDING
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1364
Country	:	US
Telephone Number	:	801-281-5996
Fax Number	:	801-281-6713

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/04/2023

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