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

Dr. Komal Rastogi, MD

Individual provider Neurology Physician · NPI 1063774669

Dr. Komal Rastogi, MD is a Neurology in West Valley City, Utah. Qualified in 2012, 14 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida, Oregon, Utah and Washington.

Years since qualifying
14
Licensed in
FL, OR, UT, WA
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2965 W 3500 S
West Valley City, UT 84119-3602
Phone: (801) 965-3600
Show map & directions

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

Additional practice locations (4)

  • 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966-1206 — (239) 208-2206
  • 630 Eaton Ave, Hamilton, OH 45013-2767 — (513) 867-2000
  • 2801 N Gantenbein Ave, Portland, OR 97227-1623 — (503) 413-8407
  • 1492 W Antelope Dr Ste 203, Layton, UT 84041-1141 — (801) 773-7500

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 10714567-1205 (UT)
Neurology Physician Taxonomy 2084N0400X · Licence ME166731 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence MD219186 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence MD61523148 (WA)

Record details

NPI number1063774669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Valley City