Dr. Giavonni Mystique Lewis, MD
Dr. Giavonni Mystique Lewis, MD is a Critical Care (Intensivists) in Salt Lake City, Utah. Graduated from Tufts University School of Medicine in 2005, 21 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 21
- Trained at
- Tufts University School of Medicine
- Licensed in
- UT
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
50 N Medical DrSalt Lake City, UT 84132-0100
Phone: (801) 581-8990
Fax: (801) 585-6005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Critical Care Physician (primary) | Taxonomy 2086S0102X · Licence 8365805-1205 (UT) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 8365805-1205 (UT) |
Record details
| NPI number | 1528222775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 16, 2008 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
Medicare enrollment
| Medicare specialty | CRITICAL CARE (INTENSIVISTS) |
|---|---|
| Also practises | GENERAL SURGERY |
| Medical school | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2005 (21 years in practice) |
| Group practice | University Of Utah Adult Services — 1740 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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