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

Dr. Ammar Ali Mubarak Asban, MBBS

Individual provider Surgery Physician · NPI 1053727719

Dr. Ammar Ali Mubarak Asban, MBBS is a Thoracic Surgery in Salt Lake City, Utah. Qualified in 2009, 17 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia, Massachusetts and Utah.

Years since qualifying
17
Licensed in
GA, MA, UT
In the registry since
2014
Specialties on file
3
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

30 N 1900 E
Salt Lake City, UT 84132-0002
Phone: (801) 581-4222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 631 Professional Dr Ste 470, Lawrenceville, GA 30046-3370 — (678) 312-1940
  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-5891

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 105134 (GA)
Surgery Physician Taxonomy 208600000X · Licence 260348 (MA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 12779409-1205 (UT)

Record details

NPI number1053727719
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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