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

Dr. Maryam Rezvani, MD

Individual provider Body Imaging Physician · NPI 1770701542

Dr. Maryam Rezvani, MD is a Diagnostic Radiology in Salt Lake City, Utah. Graduated from Indiana University School of Medicine in 2001, 25 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Utah.

Years since qualifying
25
Trained at
Indiana University School of Medicine
Licensed in
IL, IN, UT
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 N 1900 E #1A71
Salt Lake City, UT 84132
Phone: (801) 581-8699
Fax: (801) 581-2414
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 6586813-1205 (UT)
Body Imaging Physician Taxonomy 2085B0100X · Licence 65868131205 (UT)
Body Imaging Physician Taxonomy 2085B0100X · Licence 036-115412 (IL)
Body Imaging Physician Taxonomy 2085B0100X · Licence 01060592A (IN)

Record details

NPI number1770701542
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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