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

Individual provider Internal Medicine Physician · NPI 1487117198

Evan K. Daugherty, MD is a Gastroenterology in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with Nnm Gastroenterology Associates PA, a 12-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2019
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 Rm 4C116
Salt Lake City, UT 84132-0002
Phone: (801) 581-7606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11885540-1205 (UT)

Record details

NPI number1487117198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nnm Gastroenterology Associates Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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