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

Dr. Maryana Carole Boulos, MD

Individual provider Family Medicine Physician · NPI 1598325821

Dr. Maryana Carole Boulos, MD is a Family Practice in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2019, 7 years ago. Practices with Utah Healthcare Institute Inc, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2019
Specialties on file
2
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

1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone: (801) 265-2000
Show map & directions

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

Additional practice locations (2)

  • 2500 Alhambra Ave, Martinez, CA 94553-3156 — (925) 370-5000
  • 1365 W 1000 N, Salt Lake City, UT 84116-1654 — (801) 328-5750

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12851770-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12851770-1205-1205 (UT)

Record details

NPI number1598325821
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Utah Healthcare Institute Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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