Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackstone Medical, PLLC

Organization Family Medicine Physician · NPI 1902675556

Blackstone Medical, PLLC is a Family Medicine Physician in Murray, Utah. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

688 E Vine St Ste 16
Murray, UT 84107-5541
Phone: (801) 688-0210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Taxonomy 2083P0011X

Record details

NPI number1902675556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khalid Hararah — Ceo/Owner · (801) 688-0210
Other names Riverstone Medical
NPI enumeratedDecember 25, 2023
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address688 E Vine St Ste 16, Murray, UT 84107-5541

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