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

Presidium Medical Group PLLC

Organization Adult Medicine Physician · NPI 1689461774

Presidium Medical Group PLLC is an Adult Medicine Physician in Salt Lake City, Utah. Registered with an NPI since 2025.

In the registry since
2025
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

32 E Exchange Pl Fl 6
Salt Lake City, UT 84111-2704
Phone: (619) 738-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1689461774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashkan Hayatdavoudi — Owner · (619) 738-5566
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address32 E Exchange Pl Fl 6, Salt Lake City, UT 84111-2704

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